Synthetic muscle promoters with activities exceeding naturally occurring regulatory sequences in cardiac cells

ABSTRACT

Transgenes driven by naturally occurring cardiac promoters have relatively low levels of cardiac transgenic gene expression, and have consequently limited the use of cardiac muscle as a target for plasmid mediated gene supplementation. However, by randomly assembling motifs of E-box, MEF-2, TEF-1 and SRE elements, cardiac-specific synthetic promoter recombinant libraries have been produced. By screening hundreds of resultant clones for transcriptional activity both in vitro and in vivo, a few cardiac-specific synthetic promoters were discovered comprising a transcriptional potency that greatly exceeds the transcriptional levels obtained from natural myogenic and viral gene promoters. These promoters are used to direct the expression of desirable genes in nucleic acid expression constructs specifically to cardiac cells. Thus, these cardiac specific-synthetic promoters can be utilized for plasmid mediated gene supplementation for serious health conditions, such as ischemic disease, myocardial infarction or heart failure. Thus, one aspect of the current invention is a cardiac specific-synthetic promoter produced by a method that generates a library of randomized synthetic-promoter-recombinant expression constructs. Another aspect of the present invention is directed to a method using the cardiac specific-synthetic expression construct for expression a gene of interest in a cardiac cell.

[0001] This application claims priority to U.S. Provisional Patent Application, Serial Number 60/423,536, entitled “Synthetic Muscle Promoters with Activities Exceeding Naturally Occurring Regulatory Sequences in Cardiac Cells,” filed on Nov. 4,2002, the entire content of which is hereby incorporated by reference.

BACKGROUND

[0002] The ability to program recombinant gene expression in cardiac myocytes in vitro and vivo holds promise for the treatment of many inherited and acquired cardiovascular diseases (Lin et al., 1990). Cardiac and skeletal muscles are attractive targets for plasmid mediated gene supplementation because of their long life span, and large capacity for protein synthesis and secretion for local or general effects (Draghia-Akli et al., 1999; Vale et al., 1999). Moreover cardiac and skeletal muscle tissue is highly vascularized and has a high rate of blood flow, thus allowing de novo proteins to readily act locally or enter the systemic circulation. Importantly, direct administration of plasmid DNA into heart or muscle leads to expression of recombinant proteins in muscle cells (Mazda, 2002; Prentice et al., 1996). Plasmid DNA can persist in an episomal state directing the expression of recombinant proteins for months to years (Acsadi et al., 1991; Wolff et al., 1992). However, a limiting problem in using plasmid mediated gene supplementation to correct or prevent cardiac disease has been the relatively low levels of expression that have been achieved with muscle specific vectors. Although a low expression level of a recombinant protein is enough to generate an immune response against the expressed protein, therapeutic levels of recombinant proteins have currently not been produced using muscle specific promoters/enhancers (Montgomery et al., 1997). In this report we describe a method for the construction and characterization of synthetic promoters for cardiac and muscle tissue. The transcriptional potency of these synthetic promoters in terminally differentiated muscle greatly exceeds that of the natural myogenic skeletal α-actin gene promoter and viral promoters.

[0003] When delivering therapeutic genes, the use of tissue specific promoters is highly desirable. Numerous strategies have been employed to create or use for therapeutic purposes tissue specific promoters, which support transcription in cardiac and skeletal muscle, and are essentially silent in other cell types (Keogh et al., 1999; Roell et al., 2002; Rothermel et al., 2001). This approach assures localized transgene activity, without the potential complication of side effects linked to inappropriate expression in non-target tissues or organs. For instance, because of safety issues, components of the beta-adrenergic, Akt or caspase signaling pathway cannot currently be viewed as attractive targets for human gene therapy. Rather, the balance of evidence supports strategies that will target gene products specifically and directly at cardiac regulation, and molecular techniques can be devised to modulate their activity specifically and conditionally (Condorelli et al., 2001; Ding et al., 2002; Webster and Bishopric, 2000). In this report we describe a method for the construction and characterization of synthetic promoters for cardiac and muscle tissue. The transcriptional potency of these synthetic promoters in terminally differentiated muscle greatly exceeds that of the natural myogenic skeletal α-actin gene promoter and viral promoters, and may have important applications in conjunction with therapeutic genes.

[0004] Analysis of the organization of several strong muscle promoters and enhancers, with respect to groupings of cis-acting regulatory elements and their interactions with myogenic regulatory factors led the inventors to formulate a strategy to construct synthetic muscle promoters. Myogenic restricted promoters, such as those of the α-actins, display complex organization. Activation often requires interactions of various myogenic trans-factors with pairs of specific cis-elements. These elements are evolutionarily conserved and primarily responsible for tissue specific expression in adult skeletal muscle, and appeared to be a logical choice for generating synthetic promoters. By randomly assembling these myogenic elements into synthetic promoter (“SP”) recombinant libraries, and then by screening hundreds of the resultant clones for transcriptional activity it was possible to create artificial promoters whose transcriptional potency exceeds that of any naturally occurring promoters, as described in U.S. Pat. No. 6,410,228 (“the '228 Patent), issued on Jun. 25, 2002 and entitled “Method for the Identification of Synthetic Cell- or Tissue Specific Transcriptional Regulatory Regions” with Schwartz et al., listed as inventors, the entire content of which is hereby incorporated by reference.

[0005] The molecular mechanisms controlling cardiac-specific gene transcription requires the dissection of the cis-elements that govern the complex spatio-temporal expression of these genes. The vertebrate heart is formed during fetal development following a series of complex morphogenetic events that require the functional presence of different proteins, tightly regulated by combinatorial interactions of several transcription factors and their cofactors (Nemer and Nemer, 2001; Wang et al., 2001). First, the proximal serum response element (SRE) (′5-CC[A/T]₆GG-3′) of the skeletal α-actin promoter was incorporated. Multiple SREs are found in the cardiac, skeletal and smooth muscle α-actin promoters (Chang et al., 2001), and in the promoters of myosin light chain and dystrophin (Bergsma et al., 1986; Carroll et al., 1986). This cis-element is recognized by the trans-acting serum response factor (SRF), and by the competitive inhibitor YY1 (Chow and Schwartz, 1990; Lee et al., 1992; Minty and Kedes, 1986). Serum response factor (SRF) is a key regulator of a number of extracellular signal-regulated genes important for cell growth and differentiation (Zhang et al., 2001). Mutations in the proximal SRE that block SRF binding abolish skeletal α-actin promoter (SK) activity, indicating a fundamental role for this promoter element. Second, MEF-2 sites (′5-[C/T]TAAAAATAAC[C/T]₃-3′) that have been found in the promoter/enhancer regions of the myosin light-chain 3 gene were selected. A single MEF-2 site lacks enhancer activity, but has multiple copies that exhibit strong enhancer activity (Gossett et al., 1989). Mutation of the MEF2 site severely reduced promoter activity in embryos, underlining the importance of MEF2 in controlling differentiation in all muscle lineages (Kelly et al., 2002). Third, the MEF-1 sites (′5-CANNTG-3′), or E-boxes that are found in the upstream regulatory region of most, if not all, muscle-specific genes were included (Olson et al., 1991; Weintraub et al., 1990). MEF-1 sites are recognized by the basic helix-loop-helix (bHLH) family of proteins. Multiple MEF-1 sites placed upstream of basal non-muscle promoters are sufficient to direct muscle-specific expression and MyoD-mediated trans-activation in transient assays (Lassar et al., 1991; Weintraub et al., 1990). Finally, the highly conserved muscle-CAT motif, or TEF-1 binding site (′5-CATTCCT-3′) was selected. TEF-1 mediates both muscle-specific (SK, cardiac troponin T, cardiac α- and β-myosin heavy chain) and non-muscle specific transcription (simian virus 40 promoter) (Larkin et al., 1996; Stewart et al., 1994).

[0006] In M-CAT dependent promoters, specific sequences immediately flanking the core motif contribute to both the cell specificity and the overall transcriptional strength (O'Connell et al., 2001). While the process of creating synthetic promoters and their muscle specificity have been previously described by us (Li et al., 1999), their cardiac specificity has not been described or demonstrated. For instance, unpublished data from our laboratory proved that the skeletal α-actin 448 (SK448) is expressed exclusively in the skeletal muscle in transgenic animals, while the longer version of the same promoter, skeletal α-actin 622 (SK622) is expressed both in the skeletal muscle and in the cardiac muscle. Also, data from transgenic animals, an artificial model, cannot be extrapolated to direct transfection or in vivo activity after direct injection. For instance, after direct injection or in vitro cell transfection, the skeletal α-actin 448 (SK448) is expressed in cardiac cells.

[0007] Transgenes driven by naturally occurring cardiac promoters have relatively low levels of cardiac transgenic gene expression, and have consequently limited the use of cardiac muscle as a target for plasmid mediated gene supplementation. However, by randomly assembling motifs of E-box, MEF-2, TEF-1 and SRE elements, cardiac-specific synthetic promoter recombinant libraries have been produced. By screening hundreds of resultant clones for transcriptional activity both in vitro and in vivo, a few cardiac-specific synthetic promoters were discovered comprising a transcriptional potency that greatly exceeds the transcriptional levels obtained from natural myogenic and viral gene promoters. These promoters are used to direct the expression of desirable genes in nucleic acid expression constructs specifically to cardiac cells. Thus, these cardiac specific-synthetic promoters are further utilized during plasmid mediated gene supplementation for serious health conditions, such as ischemic disease, myocardial infarction or heart failure. Thus, one aspect of the current invention is a cardiac specific-synthetic promoter produced by a method that generates a library of randomized synthetic-promoter-recombinant expression constructs. A second aspect of the present invention is directed to a method using the cardiac specific-synthetic expression construct for expression a gene of interest in a cardiac cell.

SUMMARY

[0008] A first aspect of the current invention comprises a cardiac specific-synthetic promoter. This promoter is produced by a method comprising the steps of: introducing a library of randomized synthetic-promoter-recombinant expression constructs into a first-population of cells forming a first-test-population of cells; screening the first-test-population of cells for a first cardiac-specific-clone having a first-transcriptional activity that is higher than a control-transcriptional activity; and utilizing the cardiac specific-synthetic promoter from the first-cardiac-specific clone as the cardiac specific-synthetic promoter for a cardiac-specific-synthetic expression construct. In this way, each of the randomized synthetic-promoter-recombinant expression constructs are operatively linked to a reporter gene to form a nucleic acid expression construct; and the control-cardiac-specific-clone comprises a known-promoter operatively linked to the reporter gene, which forms a control-nucleic acid expression construct having the control-transcriptional activity in the first-population of cells. One specific embodiment of the current invention further comprises a second-screening the first cardiac-specific-clone in a second-test-population of cells before utilizing the cardiac-specific-synthetic promoter as the cardiac-specific-synthetic promoter for the cardiac-specific-synthetic expression construct. When the second-screening is performed, the reporter gene from the first-cardiac-specific-clone has a second-transcriptional activity in the second-population of cells that is higher than a second-control-transcriptional activity of the control-cardiac-specific-clone introduced into the second-population of cells. Additionally, the first-population of cells comprise cells in vitro, and the second-population of cells comprise cells in vivo. In a specific embodiment of this invention, the cardiac specific synthetic promoter comprises c5-12 (SeqID#5). Other specific embodiment utilizes other cardiac specific synthetic promoters such as c1-26 (SeqID#16); c2-26 (SeqID#17); c2-27 (SeqID#18); c5-5 (SeqID#19); c6-5 (SeqID#20); c6-16 (SeqID#21); or c6-39 (SeqID#22). The cardiac-specific-synthetic promoters comprise a first-combination of cis-acting regulatory elements, and the first combination of cis-acting regulatory elements were selected from a library of randomized synthetic-promoter-recombinants. The cardiac-specific synthetic promoter drives a transcriptional activity of the expressible gene in a population of cells that is higher than the transcriptional activity of the expressible gene driven by a control-promoter in the same population of cells. The cis-acting regulatory elements utilized for the cardiac-specific synthetic promoter comprise SRE (SeqID#1); MEF-1 (SeqID#2); MEF-2 (SeqID#3); and TEF-1 (SeqID#4).

[0009] A second aspect of the current invention is a method for using a cardiac specific-synthetic expression construct for expressing a gene in a cardiac cell. The method comprises delivering into the cardiac cell, a cardiac specific-synthetic expression construct. The cardiac-specific-synthetic expression construct comprises a cardiac-specific-synthetic-promoter operatively-linked to an expressible gene. In a specific embodiment of this invention, the cardiac specific synthetic promoter comprises c5-12 (SeqID#5). Other specific embodiment utilizes other cardiac specific synthetic promoters such as c1-26 (SeqID#16); c2-26 (SeqID#17); c2-27 (SeqID#18); c5-5 (SeqID#19); c6-5 (SeqID#20); c6-16 (SeqID#21); or c6-39 (SeqID#22). The cardiac-specific-synthetic promoters comprise a first-combination of cis-acting regulatory elements, and the first combination of cis-acting regulatory elements were selected from a library of randomized synthetic-promoter-recombinants. The cardiac-specific synthetic promoter drives a transcriptional activity of the expressible gene in a population of cells that is higher than the transcriptional activity of the expressible gene driven by a control-promoter in the same population of cells. The cis-acting regulatory elements utilized for the cardiac-specific synthetic promoter comprise SRE (SeqID#1); MEF-1 (SeqID#2); MEF-2 (SeqID#3); and TEF-1 (SeqID#4). Certain embodiments describe the expressible-gene comprising a nucleic acid sequence that encodes a growth-hormone-releasing-hormone (“GHRH”) or functional biological equivalent thereof. The encoded GHRH is a biologically active polypeptide, and the encoded functional biological equivalent of GHRH is a polypeptide that has been engineered to contain a distinct amino acid sequence while simultaneously having similar or improved biologically activity when compared to the GHRH polypeptide. In another specific embodiment, the encoded GHRH or functional biological equivalent thereof is of formula (SEQID#6): The cardiac specific-synthetic expression constructs of this invention also comprises SeqID No: 7, SeqID No: 8, SeqID No: 9, SeqID No: 10, SeqID No: 11, SeqID No: 12, SeqID No: 13, SeqID No: 14, or SeqID No: 15.

BRIEF DESCRIPTION OF FIGURES

[0010]FIG. 1 shows the strategy and design of muscle synthetic promoters with the proportion of regulatory elements in different combinations of synthetic promoters, wherein each combination contains at least one of each muscle specific regulatory elements;

[0011]FIG. 2 shows the design of muscle synthetic promoters elements in the constructs with the highest in vitro reporter gene activity compared with skeletal α-actin 448 promoter (“SK448”);

[0012]FIG. 3 shows the transcriptional expression of luciferase in fold excess of the SK448 expression, the luciferase reporter gene was driven by the various synthetic promoters and activity was measured at 48 hours post-differentiation;

[0013]FIG. 4 shows the transcriptional expression of luciferase in anterior tibialis of adult ICR mice driven by the synthetic promoters SPc1-28, SPc5-12, cytomegalovirus (“CMV”); and SK448, the luciferase activity was measured at 7 days after direct injections in anterior tibialis;

[0014]FIG. 5 shows the transcriptional expression of β-galactosidase (“β-gal”) in primary chicken muscle culture driven by the synthetic promoters cytomegalovirus (“CMV”), SK448, SPc5-12, and control, the β-gal activity was measured at 24, 48, 72, and 96 hours;

[0015]FIG. 6 shows the transcriptional expression of luciferase in primary mouse cardiac culture driven by the synthetic promoters cytomegalovirus (“CMV”), SPc5-12, SK448, SV40, β-gal, and non-transfected cells the luciferase activity was measured at 24,48, 72, and 96 hours;

[0016]FIG. 7 shows a time course table for Beta-galactosidase activity in cardiac myocytes wherein the activity of β-gal was measured at 24, 48, 72, and 96 hours;

[0017]FIG. 8 shows the in vitro muscle specific expression of β-gal driven by the synthetic promoter SPc5-12, wherein the expression level of β-gal driven by SPc5-12 promoter is comparable with the expression level of β-gal driven by the SK448 promoter in displaying cell type specific expression, and the expression level of β-gal driven by SPc5-12 promoter is at least one order of magnitude less active then the β-gal driven by the CMV promoter in several non-muscle cell lines (CV1, 293, HeLa and 10T1/2);

[0018]FIG. 9 shows the expression level of β-gal driven by the synthetic promoter c5-12 is muscle and cardiac specific in vivo, a total RNA Northern blot of various tissues (e.g. testis (“T”), brain (“B”), intestine (“I”), lung (“Lg”), stomach (“St”), kidney (“K”), liver (“Lv”), gastrocnemius (“M”), heart (“H”), spleen (“Sp”)) from different lines of transgenic mice hybridized with a β-gal cDNA probe and then a mouse 18S probe, was used to show the muscle and cardiac specific expression of a reporter gene driven by SPc5-12;

[0019]FIG. 10 shows the in vivo expression of a luciferase reporter gene driven by the synthetic promoters cytomegalovirus (“CMV”), SPc5-12, SK448, SV40, and control, wherein the in vivo luciferase activity was analyzed at 2 and 4 weeks after direct intra-muscular injection;

[0020]FIG. 11 shows the level of mouse growth hormone (“GH”) in mice that were injected with a GHRH expression construct driven by the SPc5-12 promoter when compared with control promoters, the GH levels were determined at 7 days post-injection;

[0021]FIG. 12 shows the synthetic promoter c1-26 sequence with the regulatory elements marked and with the restriction maps;

[0022]FIG. 13 shows the synthetic promoter c2-26 sequence with the regulatory elements marked and with the restriction maps;

[0023]FIG. 14 shows the synthetic promoter c2-27 sequence with the regulatory elements marked and with the restriction maps;

[0024]FIG. 15 shows the synthetic promoter c5-5 sequence with the regulatory elements marked and with the restriction maps;

[0025]FIG. 16 shows the synthetic promoter c5-12 sequence with the regulatory elements marked and with the restriction maps;

[0026]FIG. 17 shows the synthetic promoter c6-5 sequence with the regulatory elements marked and with the restriction maps;

[0027]FIG. 18 shows the synthetic promoter c6-16 sequence with the regulatory elements marked and with the restriction maps;

[0028]FIG. 19 shows the synthetic promoter c6-39 sequence with the regulatory elements marked and with the restriction maps.

DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS

[0029] Terms:

[0030] The term “a” or “an” as used herein in the specification may mean one or more. As used herein in the claim(s), and when used in conjunction with the word “comprising”, the words “a” or “an” may mean one or more than one. As used herein “another”may mean at least a second or more.

[0031] The term “cis-acting regulatory elements” as used herein refers nucleic acid sequences that comprise transcription factor binding sites. In specific embodiments, the cis-acting regulatory elements comprise the muscle-specific control elements SRE, MEF-1, MEF-2, and TEF-1. It is recognized by one of ordinary skill in the art that other control elements may also be utilized in the present invention.

[0032] The term “operatively linked” as used herein refers to elements or structures in a nucleic acid sequence that are linked by operative ability and not physical location. The elements or structures are capable of, or characterized by accomplishing a desired operation. It is recognized by one of ordinary skill in the art that it is not necessary for elements or structures in a nucleic acid sequence to be in a tandem or adjacent order to be operatively linked.

[0033] The term “plasmid” as used herein refers generally to a construction comprised of extra-chromosomal genetic material, usually of a circular duplex of DNA that can replicate independently of chromosomal DNA. Plasmids, or fragments thereof, may be used as vectors. Plasmids are double-stranded DNA molecule that occur or are derived from bacteria and (rarely) other microorganisms. However, mitochondrial and chloroplast DNA, yeast killer and other cases are commonly excluded.

[0034] The term “plasmid mediated gene supplementation” as used herein refers a method to allow a subject to have prolonged exposure to a therapeutic range of a therapeutic protein by utilizing a nucleic acid expression construct in vivo.

[0035] The term “promoter” as used herein refers to a sequence of DNA that directs the transcription of a gene. A promoter may direct the transcription of a prokaryotic or eukaryotic gene. A promoter may be “inducible”, initiating transcription in response to an inducing agent or, in contrast, a promoter may be “constitutive”, whereby an inducing agent does not regulate the rate of transcription. A promoter may be regulated in a “tissue-specific” or “tissue-preferred” manner, such that it is only active in transcribing the operable linked coding region in a specific tissue type or types. Additionally, promoters may comprise “viral promoters,” “control-promoters,” “naturally-occurring,” or “synthetically” assembled nucleic acid sequences.

[0036] The term “randomized synthetic-promoter-recombinants” as used herein are assembled combinations of randomized cis-acting regulatory elements.

[0037] The term “reporter gene” as used herein are nucleic acid sequences encoding easily assayed proteins. They are used to replace other coding regions whose protein products are difficult to assay. Among the more commonly used reporter genes are those for the following proteins chloramphenicol acetyltransferase (“CAT”), β-galactosidase (“GAL”), β-glucuronidase (“GUS”), luciferase (“LUC”), and green fluorescent protein (“GFP”). It is recognized by one of ordinary skill in the art that other reporter genes are available. It is also recognized by one of ordinary skill in the art that other coding regions (e.g. therapeutic genes) are easily substituted in lieu of the reporter gene.

[0038] The term “transcriptional activity” as used herein refers to the transcription of the information encoded in DNA into a molecule of a RNA, or the translation of the information encoded in the nucleotides of a RNA molecule into a defined sequence of amino acids in a protein.

[0039] The term “vector” as used herein refers to any vehicle that delivers a nucleic acid into a cell or organism. Examples include plasmid vectors, viral vectors, liposomes, or cationic lipids. The term “vector” as used herein more specifically refers to a construction comprised of genetic material designed to direct transformation of a targeted cell by delivering a nucleic acid sequence into that cell. A vector may contain multiple genetic elements positionally and sequentially oriented with other necessary elements such that an included nucleic acid cassette can be transcribed and when necessary translated in the transfected cells. These elements are operatively linked. The term “expression vector” refers to a DNA plasmid that contains all of the information necessary to produce a recombinant protein in a heterologous cell.

[0040] A first aspect of the current invention comprises a cardiac specific-synthetic promoter. This promoter is produced by a method comprising the steps of: introducing a library of randomized synthetic-promoter-recombinant expression constructs into a first-population of cells forming a first-test-population of cells; screening the first-test-population of cells for a first cardiac-specific-clone having a first-transcriptional activity that is higher than a control-transcriptional activity; and utilizing the cardiac specific-synthetic promoter from the first-cardiac-specific clone as the cardiac specific-synthetic promoter for a cardiac-specific-synthetic expression construct. In this way, each of the randomized synthetic-promoter-recombinant expression constructs are operatively linked to a reporter gene to form a nucleic acid expression construct; and the control-cardiac-specific-clone comprises a known-promoter operatively linked to the reporter gene, which forms a control-nucleic acid expression construct having the control-transcriptional activity in the first-population of cells. One specific embodiment of the current invention further comprises a second-screening the first cardiac-specific-clone in a second-test-population of cells before utilizing the cardiac-specific-synthetic promoter as the cardiac-specific-synthetic promoter for the cardiac-specific-synthetic expression construct. When the second-screening is performed, the reporter gene from the first-cardiac-specific-clone has a second-transcriptional activity in the second-population of cells that is higher than a second-control-transcriptional activity of the control-cardiac-specific-clone introduced into the second-population of cells. Additionally, the first-population of cells comprise cells in vitro, and the second-population of cells comprise cells in vivo. In a specific embodiment of this invention, the cardiac specific synthetic promoter comprises c5-12 (SeqID#5). Other specific embodiment utilizes other cardiac specific synthetic promoters such as c1-26 (SeqID#16); c2-26 (SeqID#17); c2-27 (SeqID#18); c5-5 (SeqID#19); c6-5 (SeqID#20); c6-16 (SeqID#21); or c6-c39 (SeqID#22). The cardiac-specific-synthetic promoters comprise a first-combination of cis-acting regulatory elements, and the first combination of cis-acting regulatory elements were selected from a library of randomized synthetic-promoter-recombinants. The cardiac-specific synthetic promoter drives a transcriptional activity of the expressible gene in a population of cells that is higher than the transcriptional activity of the expressible gene driven by a control-promoter in the same population of cells. The cis-acting regulatory elements utilized for the cardiac-specific synthetic promoter comprise SRE (SeqID#1); MEF-1 (SeqID#2); MEF-2 (SeqID#3); and TEF-1 (SeqID#4).

[0041] A second aspect of the current invention is a method for using a cardiac specific-synthetic expression construct for expressing a gene in a cardiac cell. The method comprises delivering into the cardiac cell, a cardiac specific-synthetic expression construct. The cardiac-specific-synthetic expression construct comprises a cardiac-specific-synthetic-promoter operatively-linked to an expressible gene. In a specific embodiment of this invention, the cardiac specific synthetic promoter comprises c5-12 (SeqID#5). Other specific embodiment utilizes other cardiac specific synthetic promoters such as c1-26 (SeqID#16); c2-26 (SeqID#17); c2-27 (SeqID#18); c5-5 (SeqID#19); c6-5 (SeqID#20) c6-39 (SeqID#22). The cardiac-specific-synthetic promoters comprise a first-combination of cis-acting regulatory elements, and the first combination of cis-acting regulatory elements were selected from a library of randomized synthetic-promoter-recombinants. The cardiac-specific synthetic promoter drives a transcriptional activity of the expressible gene in a population of cells that is higher than the transcriptional activity of the expressible gene driven by a control-promoter in the same population of cells. The cis-acting regulatory elements utilized for the cardiac-specific synthetic promoter comprise SRE (SeqID#1); MEF-1 (SeqID#2); MEF-2 (SeqID#3); and TEF-1 (SeqID#4). Certain embodiments describe the expressible-gene comprising a nucleic acid sequence that encodes a growth-hormone-releasing-hormone (“GHRH”) or functional biological equivalent thereof. The encoded GHRH is a biologically active polypeptide, and the encoded functional biological equivalent of GHRH is a polypeptide that has been engineered to contain a distinct amino acid sequence while simultaneously having similar or improved biologically activity when compared to the GHRH polypeptide. In another specific embodiment, the encoded GHRH or functional biological equivalent thereof is of formula (SEQID#6): The cardiac specific-synthetic expression constructs of this invention also comprises SeqID No: 7, SeqID No: 8, SeqID No: 9, SeqID No: 10, SeqID No: 11, SeqID No: 12, SeqID No: 13, SeqID No: 14, or SeqID No: 15.

[0042] The randomized synthetic-promoter-recombinants of this invention are prepared by a method comprising: identifying pools of cis-acting regulatory elements; and assembling the cis-acting regulatory elements in a random order to form the library of the synthetic-promoter-recombinants. The cis-acting regulatory elements comprise a double stranded, phosphorylated core motif that is flanked by an adjacent sequence. The assembled cis-acting regulatory elements face a same side of a DNA helix in each recombinant comprising the synthetic-promoter-recombinant library. The tissue specific synthetic promoter comprises a muscle specificity, wherein the muscle specificity comprises cardiac or skeletal muscle. A specific synthetic promoter of this invention comprises about 5 to about 20 cis-acting regulatory elements, wherein the regulatory elements comprise SRE (SeqID#1); MEF-1 (SeqID#2); MEF-2 (SeqID#3); and TEF-1 (SeqID#4). One example of a tissue specific synthetic promoter comprise SeqID#5. Additionally, the tissue specific synthetic promoter is utilized for plasmid mediated gene supplementation.

[0043] The regulatory regions of most promoters and enhancers consist of a combination of multiple transcription factor binding sites. Although not wanting to be bound by theory, the composition and arrangement of the binding sites determine the characteristics of regulatory regions. Expression vectors have been frequently modified by combining naturally existing promoters and enhancers (Hartikka et al., 1996; Skarli et al., 1998), and generally these modifications had little or no effect when compared with the transcriptional activity of the native promoters (Franz et al., 1997). In addition, naturally occurring regulatory regions are not always capable of regulating transcription in a desired manner (e.g. enhanced tissue specific regulation). In the invention described herein utilize specific transcription factor binding elements that were incorporated into synthetic promoters. For example, the muscle-specific control elements SRE, MEF-1, MEF-2, TEF-1 were synthesized, randomly assembled, and screened. Fragments containing 5-20 control elements represent synthetic promoter/enhancers were randomly ligated with regulatory sequences that varied in content, location and orientation relative to natural muscle promoters. These fragments were cloned in reporter plasmids in order to identify synthetic promoters with high transcriptional activity both in vitro and in vivo. Over 1000 different clones were evaluated. Since the method to produce and identify synthetic promoters with high transcriptional activity in vitro and in vivo is highly dependent on specific control elements and screening methods, it could not have been predicted by one skilled in the art which elements and control elements were appropriate without laborious and failed experimentations. However, the preferred composition and methods that are outlined for this invention achieve the desired in vitro and in vivo transcriptional activity.

[0044] We observed that multimerized single elements had low activity when compared with the natural skeletal α-actin 448 promoter (SK448), while about 2.5% of the clones derived by combining regulatory elements in the promoter library revealed 2-10 fold higher activity. Transfection assays in primary chicken myotubes indicated that one of the specific promoters of this invention (i.e. SPc5-12) had a 6 fold increased activity over a CMV promoter and at least 10 fold greater activity than the control SK448 promoter.

[0045] Transfection assays in primary mouse cardiac cells indicated that SPc5-12 had a 2 fold increased activity over CMV promoter and at least 13 fold greater activity than SK448. Analysis of direct intramuscular injection of DNA plasmids in normal muscle after 2-4 weeks revealed a 3-4 fold increased activity of SPc5-12 over SK448 promoter and a 6-8 fold increase over the CMV promoter. Cardiac and muscle specificity was confirmed with non-muscle cell lines and in transgenic animals.

[0046] Although not wanting to be bound by theory, many transcriptional regulatory regions have been described without the cloning of the corresponding transcription factors. Consequently, these “potential transcription factor regulatory elements” still need to be confirmed as functional for transcription regulation by identification of the corresponding transcription factors. Thus, synthetic promoters of this invention are constructed using combinations of cis-elements whose trans-factors are both known and unknown. Synthetic promoter libraries are also utilized to provide the basis for a desired functional tissue specificity. Because PCR mutagenesis allows the random modification of regulatory regions, this PCR method is utilized to screen even a greater number of regulatory regions by selection assays.

[0047] Although not wanting to be bound by theory, this novel system of designing synthetic promoters/enhancers using individual regulatory elements rather than entire promoters represents a significant improvement over previously generated plasmid DNA expression vectors (Buvoli et al., 2002; Phillips et al., 2002; Xu et al., 2002). For example, organ-specific promoter/enhancer fragments that exhibit persistent and increased expression when compared to naturally occurring sequences were obtained using this novel strategy. Although in vitro assays provide a good indication of promoter potency, in vivo studies are still required to determine the most appropriate synthetic promoter, as indicated in the specific embodiments of this invention. Although not wanting to be bound by theory, the optimization of plasmid DNA vectors for cardiac and muscle mediated plasmid mediated gene supplementation will increase their utility for delivery of therapeutic proteins including anti-coagulation factors, superoxide dismutase (“SOD”), hemoxygenase or other therapeutic molecules.

[0048] Construction of synthetic promoter and reporter plasmids. A 144 bp EcoRI/EagI fragment of chicken skeletal α-actin promoter (Chow et al., 1991; Lee et al., 1994) which contains the TATA box at −25bp upstream the cap site, a Sp1 pair in between −35 and −65bp and a TEF-1 site at −65bp, was removed from plasmid p612aACATMLC (Chow and Schwartz, 1990). The fragment was cloned into the EcoRI/EagI sites of pBluescript KS+ to generate pBS-SK144. pBS-SK144 was then cut SacI/HindIII, and the SK144 fragment, now with appropriate cloning sites was moved into the SacI/HindIII sites of pGL-2 basic vector (Promega, Madison, Wis., USA) to generate pSK144GL-2. All synthetic fragments had EagI cohesive ends and were cloned into EagI site of pSK144GL-2, to create synthetic promoter constructs driving luciferase. The pSK448GL-2 was utilized as a muscle specific control that contained a 448 bp chicken skeletal α-actin promoter (Draghia-Akli et al., 1997) cloned into the SacI/HindIII sites of the same pGL-2 basic vector. Additional methods for the construction of synthetic promotes and reporter plasmids are described in U.S. Pat. No. 6,410,228 (“the '228 Patent), issued on Jun. 25, 2002 and entitled “Method for the Identification of Synthetic Cell- or Tissue Specific Transcriptional Regulatory Regions” with Schwartz et al., listed as inventors, the entire content of which is hereby incorporated by reference.

[0049] Two complementary oligonucleotides were synthesized for each individual control element, phosphorylated and annealed to yield short DNA fragments. The oligonucleotide sequences were as follows: SRE 5′-GACACCCAAATATGGCGACGG-3′ (SeqID#1) 3′-CTGTGGGTTTATACCGCTGCC-5′ MEF-1 5′-CCAACACCTGCTGCCTGCC-3′ (SeqID#2) 3′-GGTTGTGGACGACGGACGG-5′ MEF-2 5′-CGCTCTAAAAATAACTCCC-3′ (SeqID#3) 3′-GCGAGATTTTTATTGAGGG-5′ TEF-1 5′-CACCATTCCTCAC-3′ (SeqID#4) 3′-GTGGTAAGGAGTG-5′

[0050] The phosphorylation/annealing reaction was performed in a total volume of 300 μl in TEN buffer (10 mM Tris-HCl, pH 7.5; 1 mM EDTA, 50 mM NaCl) using sense and antisens strand oligonucleotides (20 μM each, equivalent to a total of 600 pmoles), 1 mM ATP and 0.5 U/ml of T4 polynucleotide kinase by heating to 70° C. for 15 minutes and cooling down to room temperature over 30 minutes.

[0051] Different combination of SRE, MEF-1, MEF-2 and TEF-1 were then ligated in a total volume of 1 00 μl using different molar ratio (FIG. 1), maintaining a constant total amount of oligonucleotide of 200 pmoles. The core motif of each regulatory element (underlined) was flanked by adjacent sequence so that the binding sites of the regulatory elements would face the same side of the DNA helix when assembled together. The ligation reaction was completed with T4 ligase in 150 μl. After ligation, the combination of elements was run on a 6% acrylamide gel. The 75-300-bp region was cut and eluted in 2 volumes of diffusion buffer at 37° C. overnight. The DNA was extracted using Qiaex II Gel Extraction Kit (Qiagen Inc., Chatsworth, Calif., USA) and incubated in 150 μl with phosphorylated and annealed Sp1 element (2.5 nmoles) and 10 U of T4 ligase at 16° C. overnight. Since each of the Sp1 elements (′5-CCGTCCGCCCTCGG-3′) contains EagI half at both ends, an intact EagI restriction site was generated wherever two Sp1 elements were ligated together. The reaction was cleaned up (Qiaquick Nucleotide Removal Kit), digested with EagI and cloned into the EagI site of SK144GL-2 luciferase reporter construct, which resulted in a library of randomized synthetic-promoter-recombinants that were operatively linked to a reporter gene. The clones that gave the best results in the transfection studies were sequenced automatically.

[0052] Amplification and selection of the randomized synthetic-promoter-recombinant clones. The entire library of randomized synthetic-promoter-recombinants was transformed and then amplified in E. coli DH5α cells, plated on agar growth medium, and individual specific clones screened by transfection into muscle cells. The clones that gave the best results in the transfection studies were then sequenced automatically.

[0053] The nucleic acid sequences reported herein are believed to be correct, however a small percentage of sequence errors may be present. One skilled in the art could readily obtain the correct synthetic regulatory region by identifying the particular elements and their positions in the region from the sequence provided, and constructing the synthetic regulatory regions from those elements in the same positions and orientations.

[0054] Screening for high transcriptional activity synthetic promoters. Miniprep DNA was used for transfection during the initial screening of synthetic promoters. After plating 4000 cells/well in 96 well dishes, cells were transfected with 15 ng plasmid/well using lipofectamine and collected 72 h post-transfection, using the conditions described in the next paragraph.

[0055] Cell culture. Minimal Essential Medium (MEM), heat inactivated horse serum (“HIHS”), gentamycin, Hanks Balanced Salt Solution (HBSS), lipofectamine were obtained from Gibco BRL (Grand Island, N.Y.). Primary chicken myoblast and mouse cardiac cultures were obtained as described (Bergsma et al., 1986). Cells were plated 24 h prior to transfection at a density of 1.5 million cells/100 mm plate, in MEM supplemented with 10% HIHS, 5% chicken embryo extract (CEE) and gentamycin. Cells were maintained in a humidified 5% CO₂ 95% air atmosphere at 37° C. Cells were transfected with 4 μg of plasmid per 100 mm plate, using lipofectamine, according to the manufacturer instructions. After transfection, the medium was changed to MEM which contained 2% HIHS, 2% CEE for at least 24 h to allow the cells to differentiate. Media and cells were harvested 24,48,72 and 96 h post-differentiation. The samples and controls were assayed in quadruplicate in at least two different rounds of transfection. The efficiency of transfection was estimated by β-galactosidase histochemistry of control plates to be 10%. The cells were homogenized in Promega reporter lysis buffer for luciferase, beta-galactosidase and protein assays.

[0056] Northern blot analysis. 10-20 μg of total RNA was DNase I treated (Gibco BRL), size separated in 1.5% agarose-formaldehyde gel and transferred to Gene Screen nylon membrane (DuPont Research Products, Boston, Mass.). The membranes were hybridized with cDNA probes ³²P labeled by random priming (Ready-to-Go DNA labeling kit, Pharmacia Biotech, Piscataway, N.J.). Hybridization was carried out at 45° C. in a solution which contained 50% formamide, 5×SSPE, 5×Denhardts, 1% SDS, 200 μg/ml sheared salmon sperm DNA. Membranes were washed twice for 10 minutes in 2×SSPE/1%SDS at room temperature and twice for 30 minutes in 0.2×SSPE/1%SDS at 68° C. Blots were subsequently exposed to X-ray film (Kodak X-Omat AR; Eastman Kodak, Rochester, N.Y.) at −80° C. with intensifying screens.

[0057] Transgenic animals study. Transgenic mice carrying E.coli beta-galactosidase (“β-gal”) with an NLS under the control of the SPc5-12 promoter were generated by standard oocyte injection. Three different lines of 5 weeks old SPc5-12β-gal mice and control littermates were killed and samples of different organs and skeletal muscles were collected, stored at −80° C. For β-gal histochemistry, tissues were sectioned at 10 μm, fixed and stained.

[0058] Intramuscular injection of plasmid DNA in adult mice. Plasmid preparation of SPc5-12 and SK448 were diluted in PBS pH=7.4 to 1 mg/ml. ICR male mice (Harlem Laboratories, Houston, Tex.) were anesthetized with 0.5 ml/kg of a combination of ketamine (42.8 mg/ml), xylazine (8.2 mg/ml) and acepromazine (0.7 mg/ml). Fifty micrograms of plasmid in 25 μl sterile PBS was injected directly into the anterior tibialis of mice. At 1, 2 and 4 weeks after the injection, the injected muscle was snap frozen in liquid nitrogen. Muscles were homogenized in PBS, pH=7.4 containing 0.2% Triton x-100 and protease inhibitors: leupeptin, 0.7 μg/ml, pepstatin 10 μg/ml and aprotinin 2 μg/ml (Boehringer Mannheim, Indianapolis, Ind.). Muscle extracts were centrifuged at 10,000×g for 30 minutes at 4° C. and the supernatant recovered. Protein assays were performed using Bio-Rad Protein Assay (Bio-Rad Laboratories, Hercules, Calif.) and luciferase and β-galactosidase activity was measured. At each time point, 6-15 animals were used for each construct. The experiments were repeated twice.

[0059] Mouse growth hormone RIA. Mouse GH in plasma was measured with a heterologous rat assay system (Amersham, Arlington Heights, Ill.). The sensitivity of the assay was 0.16 ng/tube. The intra- and interassay coefficients of variation were 6.5 and 6.8% respectively.

[0060] Statistics. Data were analyzed using Microsoft Excel statistics analysis package. Values shown in the figures are the mean±s.e.m. to exert the desired effect.

[0061] The invention may be better understood with reference to the following examples, which are representative of some of the embodiments of the invention, and are not intended to limit the invention.

EXAMPLE 1

[0062] Construction of synthetic promoter libraries. Although not wanting to be bound by theory, the endogenous promoter of skeletal α-actin is considered a very strong promoter. For example, when poly-A mRNA is isolated from an adult avian muscle, approximately 9% of the total poly-A mRNA isolated comprises skeletal α-actin mRNA, which is the highest expressed level of any poly-A mRNA species in cardiac or skeletal muscle (Schwartz and Rothblum, 1981). A short core fragment (i.e. SK144) of the chicken skeletal α-actin promoter was used as the minimal sequence to insert synthetic regulatory elements (Lee et al., 1994),(Chow et al., 1991). The core motif of each regulatory element was flanked by adjacent sequences that are conserved in the natural genes to allow the regulatory elements to anneal on the same face of the DNA helix. For example the serum regulatory element (“SRE”) sequence corresponds to the proximal SK SRE1, GCTGC motif adjacent to the MEF-1 is conserved in the muscle creatine kinase gene and rat myosin light chain gene. Different combinations of SRE, MEF-1, MEF-2 and TEF-1 oligonucleotide (FIG. 1) were annealed and then capped by ligation with Sp1 elements, since Sp1 has been shown to act in synergy with SREs and E-boxes. It has also been shown that Sp1 binding sites are essential for de novo methylation protection of CpG islands and non-island DNA regions (Machon et al., 1998). Synthetic promoter libraries were generated from DNA fragments containing about 5-20 regulatory elements and ligated into a minimal actin-reporter plasmid that expresses the luciferase reporter gene.

[0063] Screening synthetic promoters with high transcriptional activity. The in vitro luciferase activity was measured in more than 1000 different clones in 96 well dishes containing transiently transfected chicken primary myoblasts to determine the strength of the newly constructed synthetic promoters. A 448bp promoter fragment (−424/+24) (“SK448”) of the avian skeletal α-actin gene was used as a specific expression control in cardiac and skeletal muscle (FIG. 2). The SK448 promoter control has been shown to be active in differentiated skeletal muscle cells, but not in myoblasts (Bergsma et al., 1986; Chow and Schwartz, 1990; Lee et al., 1994). Cytomegalovirus (“CMV”) basic promoter was also used as a ubiquitous promoter control. Newly generated synthetic promoters, CMV promoters, and SK448 promoters were inserted into reporter construct plasmids and transfected into cells then placed into differentiation media for up to 72 hours to initiate withdrawal from the cell cycle and to induce post-fusion differentiation and muscle-specific promoter activation. At the end of this period the cells were harvested and assayed for the reporter gene activity.

[0064] Promoters consisting of only multimerized single elements such as SREs, E-boxes, MEF-2 or TEF-1 had activities several-fold lower than the skeletal α-actin promoter 448 (data not shown). We observed that some promoters containing a combinatory pool of elements provided a 2 to 10 fold higher luciferase reporter gene activity (FIG. 3) when compared to SK448. Clones that displayed transcriptional activity greater than 2 times that of SK448 activity were examined further. Some clones from the first and fifth combinatorial pools, such as c1 -28, c5-12, c5-1, c5-5, where SRE, MEF-2, MEF- 1, TEF-1 were mixed in the ratio 1:1:1:1 and 1:1:1:4, respectively, had the highest in vitro and/or in vivo activity (see also FIG. 1).

[0065] Cell culture assay systems cannot readily substitute for in vivo testing into the skeletal muscle of new plasmid constructs, as it has been shown that some muscle specific regulatory elements with high in vitro expression have less activity in vivo (Barnhart et al., 1998). Fifty micrograms of the most potent synthetic promoters (SPc1-28 and SPc5-12), SK448 and CMV plasmids were injected into the tibialis anterior muscle of adult ICR mice (n=6/group). One week later (FIG. 4), the activity of CMV and SPc5-12 was similar (16.77±7.43 and 14.59±9.39×10⁶RU/μg protein, respectively), while SK448 and SPc1-28 were 10 fold less active (1.44±0.76 and 1.58±0.65×10⁶RU/μg protein, respectively). SPc5-12 was then chosen for further studies.

[0066] SPc5-12 was tested over a 96 hour time-course during primary avian muscle cell myogenesis in culture where replicating myoblasts withdraw from the cell cycle, fuse and form multinucleated terminally differentiated myotubes (FIG. 5). CMV promoter was active in both myoblasts and myotubes at similar levels (1.05±0.06×10⁶RU (relative units)/μg protein at 24 h, 1.22±0.22×10⁶RU/μg protein at 96 h). SK448 expression increased only after 48 hours (0.17±0.016×10⁶ RU/μg protein at 48 h, 0.37±0.09×10⁶ RU/μg protein at 72 h, 0.41±0.06×10⁶ RU/μg protein at 96 h), which correspond to the pattern of activation of SK promoters, active in myotubes but not in replicating myoblasts (Hayward and Schwartz, 1986). SPc5-12 mimicked the pattern of activation of SK448. However, SPc5-12 was 10 fold more active than SK448 and 2-6 fold higher than CMV promoter at 96 h (2.27±0.23×10⁶ RU/μg protein at 48 h, 3.62±0.91×10⁶ RU/μg protein at 72 h and 7.25±0.48×10⁶ RU/μg protein at 96 h).

[0067] SPc5-12 was tested in primary cardiac myocytes over a 96-hour time course (FIG. 6), and compared with the ubiquitous promoters CMV and SV40 and with the muscle specific promoter SK448. As shown, CMV promoter has high initial activity in cardiac cells, which decreases over time. SK448 and SPc5-12 activities increase during the same time period, with long-term activation and higher activity than the baseline. Similarly to the skeletal muscle cells, in cardiac cells at 96 hour post-transfection, the SPc5-12 promoter has 13-fold higher expression than the naturally occurring SK448, and 2-fold higher activity than CMV (FIG. 7).

EXAMPLE 4

[0068] In vitro and in vivo specificity of SPc5-12 promoter. The specificity of SPc5-12 promoter was evaluated by transient transfections in several non-muscle cell lines. In the CV1 line (monkey kidney fibroblasts), HeLa cells (human cervix epitheloid carcinoma), 293 line (human transformed embryonic kidney) and 10 T1/2 line (mouse embryonic fibroblasts) specific β-gal activity of SPc5-12 and SK 448 constructs was relatively low compared with the prevalently expressed CMV promoter (FIG. 8).

[0069] We then generated lines of transgenic mice carrying E.coli β-galactosidase (β-gal) with a nuclear localization signal (nls) under the control of the SPc5-12 promoter to determine its in vivo specificity. At the end of 5 weeks, several different SPc5- 12 transgenic β-gal mice were killed and samples of different organs (lung, liver, brain, spleen, intestine, stomach, kidney, testis) and heart and skeletal muscles were frozen in liquid nitrogen. β-gal tissue specific expression was evaluated by Northern blot analysis of total RNA (FIG. 9) and histochemistry techniques (data not shown). RNA blot analysis revealed β-gal transcripts only in muscle and heart samples in all positive lines of SPc5-12 transgenic mice; no expression was detected in non-myogenic organs. Histologically, β-gal positive nuclei were present in muscle fibers, as with the original SK448 promoter, but not in the control littermates. The pattern of expression was similar in 2 other transgenic lines.

EXAMPLE 3

[0070] In vivo activity of SPc5-12 promoter. In vivo expression of SPc5-12 promoter was compared to that of the ubiquitous promoters CMV and SV40, and with the muscle specific SK448 promoter, after direct intra-muscular injection in adult immunocompetent mice (FIG. 10). At 2 and 4 weeks post-injection, the SPc5-12 driven construct had an activity 3-5 fold higher that that of the SK448 promoter (SPc5-12, 2 weeks: 4.97±2.07×10⁶ RU/μg protein, 4 weeks: 3.78±1.71×10⁶ RU/μg protein vs. SK448, 2 weeks: 1.37±0.43×10⁶ RU/μg protein, 4 weeks: 1.25±0.04×10⁶ RU/μg protein) and 6-8 time greater then that of the CMV promoter (2 weeks: 0.94±0.4×10⁶ RU/μg protein, 4 weeks: 0.65±0.16×10⁶ RU/μg protein). The SV40 construct was 100 fold less active at each of these time points (2 weeks: 0.05±0.02×10⁶ RU/μg protein, 4 weeks: 0.04±0.008×10⁶ RU/μg protein. These results show that in vivo transfection of the SPc5-12 into skeletal muscle results in significantly higher expression than conventional promoters do.

[0071] The ability of our synthetic promoter to ensure production of therapeutic levels of a secreted protein was determined. Human growth hormone releasing hormone (“hGHRH”) cDNA was cloned downstream of the SPc5-12 promoter. The same construct, but with a CMV promoter, was used as a positive control. Biologically active hGHRH secreted by the muscle cells stimulated the secretion of endogenous growth hormone (“mGH”) from the anterior pituitary of the injected mice. Seven days after direct intra-muscular injection of 30 micrograms of SPc5-12-GHRH plasmid in adult mice, serum mouse GH (“mGH”) was measured using a specific RIA. Serum mGH increased in both SPc5-12-GHRH and CMV-GHRH injected mice compared to control levels (24.84±13.15 ng/ml and 21.19±11.05 ng/ml, respectively vs. 1.7±0.1 ng/ml). The values obtained using these synthetic promoters (in a quantity of 30 μg of plasmid) were 1.5 fold higher than that obtained using 100 μg of pSK-GHRH in a previous study in our laboratory (Draghia-Akli et al., 1997), a five fold increase in activation when normalizing for the plasmid quantity.

[0072] The above synthetic promoters can be utilized for organ specific expression of various therapeutic genes in a mammalian host. One skilled in the art recognizes that the promoters described herein can direct the expression of any number of different genes that are useful for plasmid mediated gene supplementation. Methods and compositions for constructing promoters that can be utilized for effective gene transfer of an expression vector to a host cell in accordance with the present invention to a host cell can be monitored in terms of a therapeutic effect (e.g. alleviation of some symptom associated with the particular disease being treated) or, further, by evidence of the transferred gene or high expression of the gene within the host (e.g., using the polymerase chain reaction in conjunction with sequencing, Northern or Southern hybridizations, or transcription assays to detect the nucleic acid in host cells, or using immunoblot analysis, antibody-mediated detection, mRNA or protein half-life studies, or particularized assays to detect protein or polypeptide encoded by the transferred nucleic acid, or impacted in level or function due to such transfer).

[0073] The above tissue specific synthetic promoters can be utilized in diverse vector constructs and administered to a mammalian host for various therapeutic effects. One skilled in the art recognizes that different methods of delivery may be utilized to administer a tissue specific synthetic expression vector into a cell. Examples include: (1) methods utilizing physical means, such as electroporation (electricity), a gene gun (physical force) or applying large volumes of a liquid (pressure); and (2) methods wherein the tissue specific synthetic expression vector is complexed to another entity, such as a liposome or transporter molecule.

[0074] Accordingly, the present invention provides a method of transferring a tissue specific therapeutic gene to a host, which comprises administering the vector of the present invention, preferably as part of a composition, using any of the aforementioned routes of administration or alternative routes known to those skilled in the art and appropriate for a particular application. Effective gene transfer of a tissue specific expression vector to a host cell in accordance with the present invention to a host cell can be monitored in terms of a therapeutic effect (e.g. alleviation of some symptom associated with the particular disease being treated) or, further, by evidence of the transferred gene or expression of the gene within the host (e.g., using the polymerase chain reaction in conjunction with sequencing, Northern or Southern hybridizations, or transcription assays to detect the nucleic acid in host cells, or using immunoblot analysis, antibody-mediated detection, mRNA or protein half-life studies, or particularized assays to detect protein or polypeptide encoded by the transferred nucleic acid, or impacted in level or function due to such transfer).

[0075] These compositions and methods described herein are by no means all-inclusive, and further methods to suit the specific application will be apparent to the ordinary skilled artisan. Moreover, the effective amount of the compositions can be further approximated through analogy to compounds known to exert the desired effect.

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1 22 1 21 DNA artificial sequence SRE control elements used in the promoters. 1 gacacccaaa tatggcgacg g 21 2 19 DNA artificial sequence MEF-1 control element used in the promoters 2 ccaacacctg ctgcctgcc 19 3 19 DNA artificial sequence MEF-2 control element used in the promoters. 3 cgctctaaaa ataactccc 19 4 13 DNA artificial sequence TEF-1 control element used in the promoters. 4 caccattcct cac 13 5 335 DNA artificial sequence Nucleic acid sequence of an eukaryotic promoter c5-12. 5 cggccgtccg ccttcggcac catcctcacg acacccaaat atggcgacgg gtgaggaatg 60 gtggggagtt atttttagag cggtgaggaa ggtgggcagg cagcaggtgt tggcgctcta 120 aaaataactc ccgggagtta tttttagagc ggaggaatgg tggacaccca aatatggcga 180 cggttcctca cccgtcgcca tatttgggtg tccgccctcg gccggggccg cattcctggg 240 ggccgggcgg tgctcccgcc cgcctcgata aaaggctccg gggccggcgg cggcccacga 300 gctacccgga ggagcgggag gcgccaagct ctaga 335 6 40 PRT artificial sequence This is the artificial sequence for GHRH (1-40)OH. 6 Xaa Xaa Asp Ala Ile Phe Thr Asn Ser Tyr Arg Lys Val Leu Xaa Gln 1 5 10 15 Leu Ser Ala Arg Lys Leu Leu Gln Asp Ile Xaa Xaa Arg Gln Gln Gly 20 25 30 Glu Arg Asn Gln Glu Gln Gly Ala 35 40 7 3534 DNA artificial sequence Nucleic acid sequence for the HV-GHRH plasmid. 7 gttgtaaaac gacggccagt gaattgtaat acgactcact atagggcgaa ttggagctcc 60 accgcggtgg cggccgtccg ccctcggcac catcctcacg acacccaaat atggcgacgg 120 gtgaggaatg gtggggagtt atttttagag cggtgaggaa ggtgggcagg cagcaggtgt 180 tggcgctcta aaaataactc ccgggagtta tttttagagc ggaggaatgg tggacaccca 240 aatatggcga cggttcctca cccgtcgcca tatttgggtg tccgccctcg gccggggccg 300 cattcctggg ggccgggcgg tgctcccgcc cgcctcgata aaaggctccg gggccggcgg 360 cggcccacga gctacccgga ggagcgggag gcgccaagct ctagaactag tggatcccaa 420 ggcccaactc cccgaaccac tcagggtcct gtggacagct cacctagctg ccatggtgct 480 ctgggtgttc ttctttgtga tcctcaccct cagcaacagc tcccactgct ccccacctcc 540 ccctttgacc ctcaggatgc ggcggcacgt agatgccatc ttcaccaaca gctaccggaa 600 ggtgctggcc cagctgtccg cccgcaagct gctccaggac atcctgaaca ggcagcaggg 660 agagaggaac caagagcaag gagcataatg actgcaggaa ttcgatatca agcttatcgg 720 ggtggcatcc ctgtgacccc tccccagtgc ctctcctggc cctggaagtt gccactccag 780 tgcccaccag ccttgtccta ataaaattaa gttgcatcat tttgtctgac taggtgtcct 840 tctataatat tatggggtgg aggggggtgg tatggagcaa ggggcaagtt gggaagacaa 900 cctgtagggc ctgcggggtc tattgggaac caagctggag tgcagtggca caatcttggc 960 tcactgcaat ctccgcctcc tgggttcaag cgattctcct gcctcagcct cccgagttgt 1020 tgggattcca ggcatgcatg accaggctca gctaattttt gtttttttgg tagagacggg 1080 gtttcaccat attggccagg ctggtctcca actcctaatc tcaggtgatc tacccacctt 1140 ggcctcccaa attgctggga ttacaggcgt gaaccactgc tcccttccct gtccttctga 1200 ttttaaaata actataccag caggaggacg tccagacaca gcataggcta cctggccatg 1260 cccaaccggt gggacatttg agttgcttgc ttggcactgt cctctcatgc gttgggtcca 1320 ctcagtagat gcctgttgaa ttcgataccg tcgacctcga gggggggccc ggtaccagct 1380 tttgttccct ttagtgaggg ttaatttcga gcttggcgta atcatggtca tagctgtttc 1440 ctgtgtgaaa ttgttatccg ctcacaattc cacacaacat acgagccgga agcataaagt 1500 gtaaagcctg gggtgcctaa tgagtgagct aactcacatt aattgcgttg cgctcactgc 1560 ccgctttcca gtcgggaaac ctgtcgtgcc agctgcatta atgaatcggc caacgcgcgg 1620 ggagaggcgg tttgcgtatt gggcgctctt ccgcttcctc gctcactgac tcgctgcgct 1680 cggtcgttcg gctgcggcga gcggtatcag ctcactcaaa ggcggtaata cggttatcca 1740 cagaatcagg ggataacgca ggaaagaaca tgtgagcaaa aggccagcaa aaggccagga 1800 accgtaaaaa ggccgcgttg ctggcgtttt tccataggct ccgcccccct gacgagcatc 1860 acaaaaatcg acgctcaagt cagaggtggc gaaacccgac aggactataa agataccagg 1920 cgtttccccc tggaagctcc ctcgtgcgct ctcctgttcc gaccctgccg cttaccggat 1980 acctgtccgc ctttctccct tcgggaagcg tggcgctttc tcatagctca cgctgtaggt 2040 atctcagttc ggtgtaggtc gttcgctcca agctgggctg tgtgcacgaa ccccccgttc 2100 agcccgaccg ctgcgcctta tccggtaact atcgtcttga gtccaacccg gtaagacacg 2160 acttatcgcc actggcagca gccactggta acaggattag cagagcgagg tatgtaggcg 2220 gtgctacaga gttcttgaag tggtggccta actacggcta cactagaaga acagtatttg 2280 gtatctgcgc tctgctgaag ccagttacct tcggaaaaag agttggtagc tcttgatccg 2340 gcaaacaaac caccgctggt agcggtggtt tttttgtttg caagcagcag attacgcgca 2400 gaaaaaaagg atctcaagaa gatcctttga tcttttctac ggggtctgac gctcagaaga 2460 actcgtcaag aaggcgatag aaggcgatgc gctgcgaatc gggagcggcg ataccgtaaa 2520 gcacgaggaa gcggtcagcc cattcgccgc caagctcttc agcaatatca cgggtagcca 2580 acgctatgtc ctgatagcgg tccgccacac ccagccggcc acagtcgatg aatccagaaa 2640 agcggccatt ttccaccatg atattcggca agcaggcatc gccatgggtc acgacgagat 2700 cctcgccgtc gggcatgcgc gccttgagcc tggcgaacag ttcggctggc gcgagcccct 2760 gatgctcttc gtccagatca tcctgatcga caagaccggc ttccatccga gtacgtgctc 2820 gctcgatgcg atgtttcgct tggtggtcga atgggcaggt agccggatca agcgtatgca 2880 gccgccgcat tgcatcagcc atgatggata ctttctcggc aggagcaagg tgagatgaca 2940 ggagatcctg ccccggcact tcgcccaata gcagccagtc ccttcccgct tcagtgacaa 3000 cgtcgagcac agctgcgcaa ggaacgcccg tcgtggccag ccacgatagc cgcgctgcct 3060 cgtcctgcag ttcattcagg gcaccggaca ggtcggtctt gacaaaaaga accgggcgcc 3120 cctgcgctga cagccggaac acggcggcat cagagcagcc gattgtctgt tgtgcccagt 3180 catagccgaa tagcctctcc acccaagcgg ccggagaacc tgcgtgcaat ccatcttgtt 3240 caatcatgcg aaacgatcct catcctgtct cttgatcaga tcttgatccc ctgcgccatc 3300 agatccttgg cggcaagaaa gccatccagt ttactttgca gggcttccca accttaccag 3360 agggcgcccc agctggcaat tccggttcgc ttgctgtcca taaaaccgcc cagtctagca 3420 actgttggga agggcgatcg gtgcgggcct cttcgctatt acgccagctg gcgaaagggg 3480 gatgtgctgc aaggcgatta agttgggtaa cgccagggtt ttcccagtca cgac 3534 8 3534 DNA artificial sequence Nucleic acid sequence for the TI-GHRH plasmid. 8 gttgtaaaac gacggccagt gaattgtaat acgactcact atagggcgaa ttggagctcc 60 accgcggtgg cggccgtccg ccctcggcac catcctcacg acacccaaat atggcgacgg 120 gtgaggaatg gtggggagtt atttttagag cggtgaggaa ggtgggcagg cagcaggtgt 180 tggcgctcta aaaataactc ccgggagtta tttttagagc ggaggaatgg tggacaccca 240 aatatggcga cggttcctca cccgtcgcca tatttgggtg tccgccctcg gccggggccg 300 cattcctggg ggccgggcgg tgctcccgcc cgcctcgata aaaggctccg gggccggcgg 360 cggcccacga gctacccgga ggagcgggag gcgccaagct ctagaactag tggatcccaa 420 ggcccaactc cccgaaccac tcagggtcct gtggacagct cacctagctg ccatggtgct 480 ctgggtgttc ttctttgtga tcctcaccct cagcaacagc tcccactgct ccccacctcc 540 ccctttgacc ctcaggatgc ggcggtatat cgatgccatc ttcaccaaca gctaccggaa 600 ggtgctggcc cagctgtccg cccgcaagct gctccaggac atcctgaaca ggcagcaggg 660 agagaggaac caagagcaag gagcataatg actgcaggaa ttcgatatca agcttatcgg 720 ggtggcatcc ctgtgacccc tccccagtgc ctctcctggc cctggaagtt gccactccag 780 tgcccaccag ccttgtccta ataaaattaa gttgcatcat tttgtctgac taggtgtcct 840 tctataatat tatggggtgg aggggggtgg tatggagcaa ggggcaagtt gggaagacaa 900 cctgtagggc ctgcggggtc tattgggaac caagctggag tgcagtggca caatcttggc 960 tcactgcaat ctccgcctcc tgggttcaag cgattctcct gcctcagcct cccgagttgt 1020 tgggattcca ggcatgcatg accaggctca gctaattttt gtttttttgg tagagacggg 1080 gtttcaccat attggccagg ctggtctcca actcctaatc tcaggtgatc tacccacctt 1140 ggcctcccaa attgctggga ttacaggcgt gaaccactgc tcccttccct gtccttctga 1200 ttttaaaata actataccag caggaggacg tccagacaca gcataggcta cctggccatg 1260 cccaaccggt gggacatttg agttgcttgc ttggcactgt cctctcatgc gttgggtcca 1320 ctcagtagat gcctgttgaa ttcgataccg tcgacctcga gggggggccc ggtaccagct 1380 tttgttccct ttagtgaggg ttaatttcga gcttggcgta atcatggtca tagctgtttc 1440 ctgtgtgaaa ttgttatccg ctcacaattc cacacaacat acgagccgga agcataaagt 1500 gtaaagcctg gggtgcctaa tgagtgagct aactcacatt aattgcgttg cgctcactgc 1560 ccgctttcca gtcgggaaac ctgtcgtgcc agctgcatta atgaatcggc caacgcgcgg 1620 ggagaggcgg tttgcgtatt gggcgctctt ccgcttcctc gctcactgac tcgctgcgct 1680 cggtcgttcg gctgcggcga gcggtatcag ctcactcaaa ggcggtaata cggttatcca 1740 cagaatcagg ggataacgca ggaaagaaca tgtgagcaaa aggccagcaa aaggccagga 1800 accgtaaaaa ggccgcgttg ctggcgtttt tccataggct ccgcccccct gacgagcatc 1860 acaaaaatcg acgctcaagt cagaggtggc gaaacccgac aggactataa agataccagg 1920 cgtttccccc tggaagctcc ctcgtgcgct ctcctgttcc gaccctgccg cttaccggat 1980 acctgtccgc ctttctccct tcgggaagcg tggcgctttc tcatagctca cgctgtaggt 2040 atctcagttc ggtgtaggtc gttcgctcca agctgggctg tgtgcacgaa ccccccgttc 2100 agcccgaccg ctgcgcctta tccggtaact atcgtcttga gtccaacccg gtaagacacg 2160 acttatcgcc actggcagca gccactggta acaggattag cagagcgagg tatgtaggcg 2220 gtgctacaga gttcttgaag tggtggccta actacggcta cactagaaga acagtatttg 2280 gtatctgcgc tctgctgaag ccagttacct tcggaaaaag agttggtagc tcttgatccg 2340 gcaaacaaac caccgctggt agcggtggtt tttttgtttg caagcagcag attacgcgca 2400 gaaaaaaagg atctcaagaa gatcctttga tcttttctac ggggtctgac gctcagaaga 2460 actcgtcaag aaggcgatag aaggcgatgc gctgcgaatc gggagcggcg ataccgtaaa 2520 gcacgaggaa gcggtcagcc cattcgccgc caagctcttc agcaatatca cgggtagcca 2580 acgctatgtc ctgatagcgg tccgccacac ccagccggcc acagtcgatg aatccagaaa 2640 agcggccatt ttccaccatg atattcggca agcaggcatc gccatgggtc acgacgagat 2700 cctcgccgtc gggcatgcgc gccttgagcc tggcgaacag ttcggctggc gcgagcccct 2760 gatgctcttc gtccagatca tcctgatcga caagaccggc ttccatccga gtacgtgctc 2820 gctcgatgcg atgtttcgct tggtggtcga atgggcaggt agccggatca agcgtatgca 2880 gccgccgcat tgcatcagcc atgatggata ctttctcggc aggagcaagg tgagatgaca 2940 ggagatcctg ccccggcact tcgcccaata gcagccagtc ccttcccgct tcagtgacaa 3000 cgtcgagcac agctgcgcaa ggaacgcccg tcgtggccag ccacgatagc cgcgctgcct 3060 cgtcctgcag ttcattcagg gcaccggaca ggtcggtctt gacaaaaaga accgggcgcc 3120 cctgcgctga cagccggaac acggcggcat cagagcagcc gattgtctgt tgtgcccagt 3180 catagccgaa tagcctctcc acccaagcgg ccggagaacc tgcgtgcaat ccatcttgtt 3240 caatcatgcg aaacgatcct catcctgtct cttgatcaga tcttgatccc ctgcgccatc 3300 agatccttgg cggcaagaaa gccatccagt ttactttgca gggcttccca accttaccag 3360 agggcgcccc agctggcaat tccggttcgc ttgctgtcca taaaaccgcc cagtctagca 3420 actgttggga agggcgatcg gtgcgggcct cttcgctatt acgccagctg gcgaaagggg 3480 gatgtgctgc aaggcgatta agttgggtaa cgccagggtt ttcccagtca cgac 3534 9 3534 DNA artificial sequence Nucleic acid sequence for the TV-GHRH plasmid. 9 gttgtaaaac gacggccagt gaattgtaat acgactcact atagggcgaa ttggagctcc 60 accgcggtgg cggccgtccg ccctcggcac catcctcacg acacccaaat atggcgacgg 120 gtgaggaatg gtggggagtt atttttagag cggtgaggaa ggtgggcagg cagcaggtgt 180 tggcgctcta aaaataactc ccgggagtta tttttagagc ggaggaatgg tggacaccca 240 aatatggcga cggttcctca cccgtcgcca tatttgggtg tccgccctcg gccggggccg 300 cattcctggg ggccgggcgg tgctcccgcc cgcctcgata aaaggctccg gggccggcgg 360 cggcccacga gctacccgga ggagcgggag gcgccaagct ctagaactag tggatcccaa 420 ggcccaactc cccgaaccac tcagggtcct gtggacagct cacctagctg ccatggtgct 480 ctgggtgttc ttctttgtga tcctcaccct cagcaacagc tcccactgct ccccacctcc 540 ccctttgacc ctcaggatgc ggcggtatgt agatgccatc ttcaccaaca gctaccggaa 600 ggtgctggcc cagctgtccg cccgcaagct gctccaggac atcctgaaca ggcagcaggg 660 agagaggaac caagagcaag gagcataatg actgcaggaa ttcgatatca agcttatcgg 720 ggtggcatcc ctgtgacccc tccccagtgc ctctcctggc cctggaagtt gccactccag 780 tgcccaccag ccttgtccta ataaaattaa gttgcatcat tttgtctgac taggtgtcct 840 tctataatat tatggggtgg aggggggtgg tatggagcaa ggggcaagtt gggaagacaa 900 cctgtagggc ctgcggggtc tattgggaac caagctggag tgcagtggca caatcttggc 960 tcactgcaat ctccgcctcc tgggttcaag cgattctcct gcctcagcct cccgagttgt 1020 tgggattcca ggcatgcatg accaggctca gctaattttt gtttttttgg tagagacggg 1080 gtttcaccat attggccagg ctggtctcca actcctaatc tcaggtgatc tacccacctt 1140 ggcctcccaa attgctggga ttacaggcgt gaaccactgc tcccttccct gtccttctga 1200 ttttaaaata actataccag caggaggacg tccagacaca gcataggcta cctggccatg 1260 cccaaccggt gggacatttg agttgcttgc ttggcactgt cctctcatgc gttgggtcca 1320 ctcagtagat gcctgttgaa ttcgataccg tcgacctcga gggggggccc ggtaccagct 1380 tttgttccct ttagtgaggg ttaatttcga gcttggcgta atcatggtca tagctgtttc 1440 ctgtgtgaaa ttgttatccg ctcacaattc cacacaacat acgagccgga agcataaagt 1500 gtaaagcctg gggtgcctaa tgagtgagct aactcacatt aattgcgttg cgctcactgc 1560 ccgctttcca gtcgggaaac ctgtcgtgcc agctgcatta atgaatcggc caacgcgcgg 1620 ggagaggcgg tttgcgtatt gggcgctctt ccgcttcctc gctcactgac tcgctgcgct 1680 cggtcgttcg gctgcggcga gcggtatcag ctcactcaaa ggcggtaata cggttatcca 1740 cagaatcagg ggataacgca ggaaagaaca tgtgagcaaa aggccagcaa aaggccagga 1800 accgtaaaaa ggccgcgttg ctggcgtttt tccataggct ccgcccccct gacgagcatc 1860 acaaaaatcg acgctcaagt cagaggtggc gaaacccgac aggactataa agataccagg 1920 cgtttccccc tggaagctcc ctcgtgcgct ctcctgttcc gaccctgccg cttaccggat 1980 acctgtccgc ctttctccct tcgggaagcg tggcgctttc tcatagctca cgctgtaggt 2040 atctcagttc ggtgtaggtc gttcgctcca agctgggctg tgtgcacgaa ccccccgttc 2100 agcccgaccg ctgcgcctta tccggtaact atcgtcttga gtccaacccg gtaagacacg 2160 acttatcgcc actggcagca gccactggta acaggattag cagagcgagg tatgtaggcg 2220 gtgctacaga gttcttgaag tggtggccta actacggcta cactagaaga acagtatttg 2280 gtatctgcgc tctgctgaag ccagttacct tcggaaaaag agttggtagc tcttgatccg 2340 gcaaacaaac caccgctggt agcggtggtt tttttgtttg caagcagcag attacgcgca 2400 gaaaaaaagg atctcaagaa gatcctttga tcttttctac ggggtctgac gctcagaaga 2460 actcgtcaag aaggcgatag aaggcgatgc gctgcgaatc gggagcggcg ataccgtaaa 2520 gcacgaggaa gcggtcagcc cattcgccgc caagctcttc agcaatatca cgggtagcca 2580 acgctatgtc ctgatagcgg tccgccacac ccagccggcc acagtcgatg aatccagaaa 2640 agcggccatt ttccaccatg atattcggca agcaggcatc gccatgggtc acgacgagat 2700 cctcgccgtc gggcatgcgc gccttgagcc tggcgaacag ttcggctggc gcgagcccct 2760 gatgctcttc gtccagatca tcctgatcga caagaccggc ttccatccga gtacgtgctc 2820 gctcgatgcg atgtttcgct tggtggtcga atgggcaggt agccggatca agcgtatgca 2880 gccgccgcat tgcatcagcc atgatggata ctttctcggc aggagcaagg tgagatgaca 2940 ggagatcctg ccccggcact tcgcccaata gcagccagtc ccttcccgct tcagtgacaa 3000 cgtcgagcac agctgcgcaa ggaacgcccg tcgtggccag ccacgatagc cgcgctgcct 3060 cgtcctgcag ttcattcagg gcaccggaca ggtcggtctt gacaaaaaga accgggcgcc 3120 cctgcgctga cagccggaac acggcggcat cagagcagcc gattgtctgt tgtgcccagt 3180 catagccgaa tagcctctcc acccaagcgg ccggagaacc tgcgtgcaat ccatcttgtt 3240 caatcatgcg aaacgatcct catcctgtct cttgatcaga tcttgatccc ctgcgccatc 3300 agatccttgg cggcaagaaa gccatccagt ttactttgca gggcttccca accttaccag 3360 agggcgcccc agctggcaat tccggttcgc ttgctgtcca taaaaccgcc cagtctagca 3420 actgttggga agggcgatcg gtgcgggcct cttcgctatt acgccagctg gcgaaagggg 3480 gatgtgctgc aaggcgatta agttgggtaa cgccagggtt ttcccagtca cgac 3534 10 3534 DNA artificial sequence Nucleic acid sequence for the 15/27/28 GHRH plasmid. 10 gttgtaaaac gacggccagt gaattgtaat acgactcact atagggcgaa ttggagctcc 60 accgcggtgg cggccgtccg ccctcggcac catcctcacg acacccaaat atggcgacgg 120 gtgaggaatg gtggggagtt atttttagag cggtgaggaa ggtgggcagg cagcaggtgt 180 tggcgctcta aaaataactc ccgggagtta tttttagagc ggaggaatgg tggacaccca 240 aatatggcga cggttcctca cccgtcgcca tatttgggtg tccgccctcg gccggggccg 300 cattcctggg ggccgggcgg tgctcccgcc cgcctcgata aaaggctccg gggccggcgg 360 cggcccacga gctacccgga ggagcgggag gcgccaagct ctagaactag tggatcccaa 420 ggcccaactc cccgaaccac tcagggtcct gtggacagct cacctagctg ccatggtgct 480 ctgggtgttc ttctttgtga tcctcaccct cagcaacagc tcccactgct ccccacctcc 540 ccctttgacc ctcaggatgc ggcggtatat cgatgccatc ttcaccaaca gctaccggaa 600 ggtgctggcc cagctgtccg cccgcaagct gctccaggac atcctgaaca ggcagcaggg 660 agagaggaac caagagcaag gagcataatg actgcaggaa ttcgatatca agcttatcgg 720 ggtggcatcc ctgtgacccc tccccagtgc ctctcctggc cctggaagtt gccactccag 780 tgcccaccag ccttgtccta ataaaattaa gttgcatcat tttgtctgac taggtgtcct 840 tctataatat tatggggtgg aggggggtgg tatggagcaa ggggcaagtt gggaagacaa 900 cctgtagggc ctgcggggtc tattgggaac caagctggag tgcagtggca caatcttggc 960 tcactgcaat ctccgcctcc tgggttcaag cgattctcct gcctcagcct cccgagttgt 1020 tgggattcca ggcatgcatg accaggctca gctaattttt gtttttttgg tagagacggg 1080 gtttcaccat attggccagg ctggtctcca actcctaatc tcaggtgatc tacccacctt 1140 ggcctcccaa attgctggga ttacaggcgt gaaccactgc tcccttccct gtccttctga 1200 ttttaaaata actataccag caggaggacg tccagacaca gcataggcta cctggccatg 1260 cccaaccggt gggacatttg agttgcttgc ttggcactgt cctctcatgc gttgggtcca 1320 ctcagtagat gcctgttgaa ttcgataccg tcgacctcga gggggggccc ggtaccagct 1380 tttgttccct ttagtgaggg ttaatttcga gcttggcgta atcatggtca tagctgtttc 1440 ctgtgtgaaa ttgttatccg ctcacaattc cacacaacat acgagccgga agcataaagt 1500 gtaaagcctg gggtgcctaa tgagtgagct aactcacatt aattgcgttg cgctcactgc 1560 ccgctttcca gtcgggaaac ctgtcgtgcc agctgcatta atgaatcggc caacgcgcgg 1620 ggagaggcgg tttgcgtatt gggcgctctt ccgcttcctc gctcactgac tcgctgcgct 1680 cggtcgttcg gctgcggcga gcggtatcag ctcactcaaa ggcggtaata cggttatcca 1740 cagaatcagg ggataacgca ggaaagaaca tgtgagcaaa aggccagcaa aaggccagga 1800 accgtaaaaa ggccgcgttg ctggcgtttt tccataggct ccgcccccct gacgagcatc 1860 acaaaaatcg acgctcaagt cagaggtggc gaaacccgac aggactataa agataccagg 1920 cgtttccccc tggaagctcc ctcgtgcgct ctcctgttcc gaccctgccg cttaccggat 1980 acctgtccgc ctttctccct tcgggaagcg tggcgctttc tcatagctca cgctgtaggt 2040 atctcagttc ggtgtaggtc gttcgctcca agctgggctg tgtgcacgaa ccccccgttc 2100 agcccgaccg ctgcgcctta tccggtaact atcgtcttga gtccaacccg gtaagacacg 2160 acttatcgcc actggcagca gccactggta acaggattag cagagcgagg tatgtaggcg 2220 gtgctacaga gttcttgaag tggtggccta actacggcta cactagaaga acagtatttg 2280 gtatctgcgc tctgctgaag ccagttacct tcggaaaaag agttggtagc tcttgatccg 2340 gcaaacaaac caccgctggt agcggtggtt tttttgtttg caagcagcag attacgcgca 2400 gaaaaaaagg atctcaagaa gatcctttga tcttttctac ggggtctgac gctcagaaga 2460 actcgtcaag aaggcgatag aaggcgatgc gctgcgaatc gggagcggcg ataccgtaaa 2520 gcacgaggaa gcggtcagcc cattcgccgc caagctcttc agcaatatca cgggtagcca 2580 acgctatgtc ctgatagcgg tccgccacac ccagccggcc acagtcgatg aatccagaaa 2640 agcggccatt ttccaccatg atattcggca agcaggcatc gccatgggtc acgacgagat 2700 cctcgccgtc gggcatgcgc gccttgagcc tggcgaacag ttcggctggc gcgagcccct 2760 gatgctcttc gtccagatca tcctgatcga caagaccggc ttccatccga gtacgtgctc 2820 gctcgatgcg atgtttcgct tggtggtcga atgggcaggt agccggatca agcgtatgca 2880 gccgccgcat tgcatcagcc atgatggata ctttctcggc aggagcaagg tgagatgaca 2940 ggagatcctg ccccggcact tcgcccaata gcagccagtc ccttcccgct tcagtgacaa 3000 cgtcgagcac agctgcgcaa ggaacgcccg tcgtggccag ccacgatagc cgcgctgcct 3060 cgtcctgcag ttcattcagg gcaccggaca ggtcggtctt gacaaaaaga accgggcgcc 3120 cctgcgctga cagccggaac acggcggcat cagagcagcc gattgtctgt tgtgcccagt 3180 catagccgaa tagcctctcc acccaagcgg ccggagaacc tgcgtgcaat ccatcttgtt 3240 caatcatgcg aaacgatcct catcctgtct cttgatcaga tcttgatccc ctgcgccatc 3300 agatccttgg cggcaagaaa gccatccagt ttactttgca gggcttccca accttaccag 3360 agggcgcccc agctggcaat tccggttcgc ttgctgtcca taaaaccgcc cagtctagca 3420 actgttggga agggcgatcg gtgcgggcct cttcgctatt acgccagctg gcgaaagggg 3480 gatgtgctgc aaggcgatta agttgggtaa cgccagggtt ttcccagtca cgac 3534 11 2710 DNA artificial sequence Vector with a mouse codon optimized GHRH analog sequence 11 tgtaatacga ctcactatag ggcgaattgg agctccaccg cggtggcggc cgtccgccct 60 cggcaccatc ctcacgacac ccaaatatgg cgacgggtga ggaatggtgg ggagttattt 120 ttagagcggt gaggaaggtg ggcaggcagc aggtgttggc gctctaaaaa taactcccgg 180 gagttatttt tagagcggag gaatggtgga cacccaaata tggcgacggt tcctcacccg 240 tcgccatatt tgggtgtccg ccctcggccg gggccgcatt cctgggggcc gggcggtgct 300 cccgcccgcc tcgataaaag gctccggggc cggcggcggc ccacgagcta cccggaggag 360 cgggaggcgc caagcggatc ccaaggccca actccccgaa ccactcaggg tcctgtggac 420 agctcaccta gctgccatgg tgctctgggt gctctttgtg atcctcatcc tcaccagcgg 480 cagccactgc agcctgcctc ccagccctcc cttcaggatg cagaggcacg tggacgccat 540 cttcaccacc aactacagga agctgctgag ccagctgtac gccaggaagg tgatccagga 600 catcatgaac aagcagggcg agaggatcca ggagcagagg gccaggctga gctgataagc 660 ttatcggggt ggcatccctg tgacccctcc ccagtgcctc tcctggccct ggaagttgcc 720 actccagtgc ccaccagcct tgtcctaata aaattaagtt gcatcatttt gtctgactag 780 gtgtccttct ataatattat ggggtggagg ggggtggtat ggagcaaggg gcaagttggg 840 aagacaacct gtagggctcg agggggggcc cggtaccagc ttttgttccc tttagtgagg 900 gttaatttcg agcttggtct tccgcttcct cgctcactga ctcgctgcgc tcggtcgttc 960 ggctgcggcg agcggtatca gctcactcaa aggcggtaat acggttatcc acagaatcag 1020 gggataacgc aggaaagaac atgtgagcaa aaggccagca aaaggccagg aaccgtaaaa 1080 aggccgcgtt gctggcgttt ttccataggc tccgcccccc tgacgagcat cacaaaaatc 1140 gacgctcaag tcagaggtgg cgaaacccga caggactata aagataccag gcgtttcccc 1200 ctggaagctc cctcgtgcgc tctcctgttc cgaccctgcc gcttaccgga tacctgtccg 1260 cctttctccc ttcgggaagc gtggcgcttt ctcatagctc acgctgtagg tatctcagtt 1320 cggtgtaggt cgttcgctcc aagctgggct gtgtgcacga accccccgtt cagcccgacc 1380 gctgcgcctt atccggtaac tatcgtcttg agtccaaccc ggtaagacac gacttatcgc 1440 cactggcagc agccactggt aacaggatta gcagagcgag gtatgtaggc ggtgctacag 1500 agttcttgaa gtggtggcct aactacggct acactagaag aacagtattt ggtatctgcg 1560 ctctgctgaa gccagttacc ttcggaaaaa gagttggtag ctcttgatcc ggcaaacaaa 1620 ccaccgctgg tagcggtggt ttttttgttt gcaagcagca gattacgcgc agaaaaaaag 1680 gatctcaaga agatcctttg atcttttcta cggggctagc gcttagaaga actcatccag 1740 cagacggtag aatgcaatac gttgagagtc tggagctgca ataccataca gaaccaggaa 1800 acggtcagcc cattcaccac ccagttcctc tgcaatgtca cgggtagcca gtgcaatgtc 1860 ctggtaacgg tctgcaacac ccagacgacc acagtcaatg aaaccagaga aacgaccatt 1920 ctcaaccatg atgttcggca ggcatgcatc accatgagta actaccaggt cctcaccatc 1980 cggcatacga gctttcagac gtgcaaacag ttcagccggt gccagaccct gatgttcctc 2040 atccaggtca tcctggtcaa ccagacctgc ttccatacgg gtacgagcac gttcaatacg 2100 atgttttgcc tggtggtcaa acggacaggt agctgggtcc agggtgtgca gacgacgcat 2160 tgcatcagcc atgatagaaa ctttctctgc cggagccagg tgagaagaca gcaggtcctg 2220 acccggaact tcacccagca gcagccagtc acgaccagct tcagtaacta catccagaac 2280 tgcagcacac ggaacaccag tggttgccag ccaagacaga cgagctgctt catcctgcag 2340 ttcattcaga gcaccagaca ggtcagtttt aacaaacaga actggacgac cctgtgcaga 2400 cagacggaaa acagctgcat cagagcaacc aatggtctgc tgtgcccagt cataaccaaa 2460 cagacgttca acccaggctg ccggagaacc tgcatgcaga ccatcctgtt caatcatgcg 2520 aaacgatcct catcctgtct cttgatcaga tcttgatccc ctgcgccatc agatccttgg 2580 cggcaagaaa gccatccagt ttactttgca gggcttccca accttaccag agggcgcccc 2640 agctggcaat tccggttcgc ttgctgtcca taaaaccgcc cagtctagca actgttggga 2700 agggcgatcg 2710 12 2713 DNA artificial sequence Vector with a rat codon optimized GHRH analog sequence 12 tgtaatacga ctcactatag ggcgaattgg agctccaccg cggtggcggc cgtccgccct 60 cggcaccatc ctcacgacac ccaaatatgg cgacgggtga ggaatggtgg ggagttattt 120 ttagagcggt gaggaaggtg ggcaggcagc aggtgttggc gctctaaaaa taactcccgg 180 gagttatttt tagagcggag gaatggtgga cacccaaata tggcgacggt tcctcacccg 240 tcgccatatt tgggtgtccg ccctcggccg gggccgcatt cctgggggcc gggcggtgct 300 cccgcccgcc tcgataaaag gctccggggc cggcggcggc ccacgagcta cccggaggag 360 cgggaggcgc caagcggatc ccaaggccca actccccgaa ccactcaggg tcctgtggac 420 agctcaccta gctgccatgg ccctgtgggt gttcttcgtg ctgctgaccc tgaccagcgg 480 aagccactgc agcctgcctc ccagccctcc cttcagggtg cgccggcacg ccgacgccat 540 cttcaccagc agctacagga ggatcctggg ccagctgtac gctaggaagc tcctgcacga 600 gatcatgaac aggcagcagg gcgagaggaa ccaggagcag aggagcaggt tcaactgata 660 agcttatcgg ggtggcatcc ctgtgacccc tccccagtgc ctctcctggc cctggaagtt 720 gccactccag tgcccaccag ccttgtccta ataaaattaa gttgcatcat tttgtctgac 780 taggtgtcct tctataatat tatggggtgg aggggggtgg tatggagcaa ggggcaagtt 840 gggaagacaa cctgtagggc tcgagggggg gcccggtacc agcttttgtt ccctttagtg 900 agggttaatt tcgagcttgg tcttccgctt cctcgctcac tgactcgctg cgctcggtcg 960 ttcggctgcg gcgagcggta tcagctcact caaaggcggt aatacggtta tccacagaat 1020 caggggataa cgcaggaaag aacatgtgag caaaaggcca gcaaaaggcc aggaaccgta 1080 aaaaggccgc gttgctggcg tttttccata ggctccgccc ccctgacgag catcacaaaa 1140 atcgacgctc aagtcagagg tggcgaaacc cgacaggact ataaagatac caggcgtttc 1200 cccctggaag ctccctcgtg cgctctcctg ttccgaccct gccgcttacc ggatacctgt 1260 ccgcctttct cccttcggga agcgtggcgc tttctcatag ctcacgctgt aggtatctca 1320 gttcggtgta ggtcgttcgc tccaagctgg gctgtgtgca cgaacccccc gttcagcccg 1380 accgctgcgc cttatccggt aactatcgtc ttgagtccaa cccggtaaga cacgacttat 1440 cgccactggc agcagccact ggtaacagga ttagcagagc gaggtatgta ggcggtgcta 1500 cagagttctt gaagtggtgg cctaactacg gctacactag aagaacagta tttggtatct 1560 gcgctctgct gaagccagtt accttcggaa aaagagttgg tagctcttga tccggcaaac 1620 aaaccaccgc tggtagcggt ggtttttttg tttgcaagca gcagattacg cgcagaaaaa 1680 aaggatctca agaagatcct ttgatctttt ctacggggct agcgcttaga agaactcatc 1740 cagcagacgg tagaatgcaa tacgttgaga gtctggagct gcaataccat acagaaccag 1800 gaaacggtca gcccattcac cacccagttc ctctgcaatg tcacgggtag ccagtgcaat 1860 gtcctggtaa cggtctgcaa cacccagacg accacagtca atgaaaccag agaaacgacc 1920 attctcaacc atgatgttcg gcaggcatgc atcaccatga gtaactacca ggtcctcacc 1980 atccggcata cgagctttca gacgtgcaaa cagttcagcc ggtgccagac cctgatgttc 2040 ctcatccagg tcatcctggt caaccagacc tgcttccata cgggtacgag cacgttcaat 2100 acgatgtttt gcctggtggt caaacggaca ggtagctggg tccagggtgt gcagacgacg 2160 cattgcatca gccatgatag aaactttctc tgccggagcc aggtgagaag acagcaggtc 2220 ctgacccgga acttcaccca gcagcagcca gtcacgacca gcttcagtaa ctacatccag 2280 aactgcagca cacggaacac cagtggttgc cagccaagac agacgagctg cttcatcctg 2340 cagttcattc agagcaccag acaggtcagt tttaacaaac agaactggac gaccctgtgc 2400 agacagacgg aaaacagctg catcagagca accaatggtc tgctgtgccc agtcataacc 2460 aaacagacgt tcaacccagg ctgccggaga acctgcatgc agaccatcct gttcaatcat 2520 gcgaaacgat cctcatcctg tctcttgatc agatcttgat cccctgcgcc atcagatcct 2580 tggcggcaag aaagccatcc agtttacttt gcagggcttc ccaaccttac cagagggcgc 2640 cccagctggc aattccggtt cgcttgctgt ccataaaacc gcccagtcta gcaactgttg 2700 ggaagggcga tcg 2713 13 2704 DNA artificial sequence Vector with a bovine codon optimized GHRH analog sequence 13 tgtaatacga ctcactatag ggcgaattgg agctccaccg cggtggcggc cgtccgccct 60 cggcaccatc ctcacgacac ccaaatatgg cgacgggtga ggaatggtgg ggagttattt 120 ttagagcggt gaggaaggtg ggcaggcagc aggtgttggc gctctaaaaa taactcccgg 180 gagttatttt tagagcggag gaatggtgga cacccaaata tggcgacggt tcctcacccg 240 tcgccatatt tgggtgtccg ccctcggccg gggccgcatt cctgggggcc gggcggtgct 300 cccgcccgcc tcgataaaag gctccggggc cggcggcggc ccacgagcta cccggaggag 360 cgggaggcgc caagcggatc ccaaggccca actccccgaa ccactcaggg tcctgtggac 420 agctcaccta gctgccatgg tgctgtgggt gttcttcctg gtgaccctga ccctgagcag 480 cggctcccac ggctccctgc cctcccagcc tctgcgcatc cctcgctacg ccgacgccat 540 cttcaccaac agctaccgca aggtgctcgg ccagctcagc gcccgcaagc tcctgcagga 600 catcatgaac cggcagcagg gcgagcgcaa ccaggagcag ggagcctgat aagcttatcg 660 gggtggcatc cctgtgaccc ctccccagtg cctctcctgg ccctggaagt tgccactcca 720 gtgcccacca gccttgtcct aataaaatta agttgcatca ttttgtctga ctaggtgtcc 780 ttctataata ttatggggtg gaggggggtg gtatggagca aggggcaagt tgggaagaca 840 acctgtaggg ctcgaggggg ggcccggtac cagcttttgt tccctttagt gagggttaat 900 ttcgagcttg gtcttccgct tcctcgctca ctgactcgct gcgctcggtc gttcggctgc 960 ggcgagcggt atcagctcac tcaaaggcgg taatacggtt atccacagaa tcaggggata 1020 acgcaggaaa gaacatgtga gcaaaaggcc agcaaaaggc caggaaccgt aaaaaggccg 1080 cgttgctggc gtttttccat aggctccgcc cccctgacga gcatcacaaa aatcgacgct 1140 caagtcagag gtggcgaaac ccgacaggac tataaagata ccaggcgttt ccccctggaa 1200 gctccctcgt gcgctctcct gttccgaccc tgccgcttac cggatacctg tccgcctttc 1260 tcccttcggg aagcgtggcg ctttctcata gctcacgctg taggtatctc agttcggtgt 1320 aggtcgttcg ctccaagctg ggctgtgtgc acgaaccccc cgttcagccc gaccgctgcg 1380 ccttatccgg taactatcgt cttgagtcca acccggtaag acacgactta tcgccactgg 1440 cagcagccac tggtaacagg attagcagag cgaggtatgt aggcggtgct acagagttct 1500 tgaagtggtg gcctaactac ggctacacta gaagaacagt atttggtatc tgcgctctgc 1560 tgaagccagt taccttcgga aaaagagttg gtagctcttg atccggcaaa caaaccaccg 1620 ctggtagcgg tggttttttt gtttgcaagc agcagattac gcgcagaaaa aaaggatctc 1680 aagaagatcc tttgatcttt tctacggggc tagcgcttag aagaactcat ccagcagacg 1740 gtagaatgca atacgttgag agtctggagc tgcaatacca tacagaacca ggaaacggtc 1800 agcccattca ccacccagtt cctctgcaat gtcacgggta gccagtgcaa tgtcctggta 1860 acggtctgca acacccagac gaccacagtc aatgaaacca gagaaacgac cattctcaac 1920 catgatgttc ggcaggcatg catcaccatg agtaactacc aggtcctcac catccggcat 1980 acgagctttc agacgtgcaa acagttcagc cggtgccaga ccctgatgtt cctcatccag 2040 gtcatcctgg tcaaccagac ctgcttccat acgggtacga gcacgttcaa tacgatgttt 2100 tgcctggtgg tcaaacggac aggtagctgg gtccagggtg tgcagacgac gcattgcatc 2160 agccatgata gaaactttct ctgccggagc caggtgagaa gacagcaggt cctgacccgg 2220 aacttcaccc agcagcagcc agtcacgacc agcttcagta actacatcca gaactgcagc 2280 acacggaaca ccagtggttg ccagccaaga cagacgagct gcttcatcct gcagttcatt 2340 cagagcacca gacaggtcag ttttaacaaa cagaactgga cgaccctgtg cagacagacg 2400 gaaaacagct gcatcagagc aaccaatggt ctgctgtgcc cagtcataac caaacagacg 2460 ttcaacccag gctgccggag aacctgcatg cagaccatcc tgttcaatca tgcgaaacga 2520 tcctcatcct gtctcttgat cagatcttga tcccctgcgc catcagatcc ttggcggcaa 2580 gaaagccatc cagtttactt tgcagggctt cccaacctta ccagagggcg ccccagctgg 2640 caattccggt tcgcttgctg tccataaaac cgcccagtct agcaactgtt gggaagggcg 2700 atcg 2704 14 2704 DNA artificial sequence Vector with a ovine codon optimized GHRH analog sequence 14 tgtaatacga ctcactatag ggcgaattgg agctccaccg cggtggcggc cgtccgccct 60 cggcaccatc ctcacgacac ccaaatatgg cgacgggtga ggaatggtgg ggagttattt 120 ttagagcggt gaggaaggtg ggcaggcagc aggtgttggc gctctaaaaa taactcccgg 180 gagttatttt tagagcggag gaatggtgga cacccaaata tggcgacggt tcctcacccg 240 tcgccatatt tgggtgtccg ccctcggccg gggccgcatt cctgggggcc gggcggtgct 300 cccgcccgcc tcgataaaag gctccggggc cggcggcggc ccacgagcta cccggaggag 360 cgggaggcgc caagcggatc ccaaggccca actccccgaa ccactcaggg tcctgtggac 420 agctcaccta gctgccatgg tgctgtgggt gttcttcctg gtgaccctga ccctgagcag 480 cggaagccac ggcagcctgc ccagccagcc cctgaggatc cctaggtacg ccgacgccat 540 cttcaccaac agctacagga agatcctggg ccagctgagc gctaggaagc tcctgcagga 600 catcatgaac aggcagcagg gcgagaggaa ccaggagcag ggcgcctgat aagcttatcg 660 gggtggcatc cctgtgaccc ctccccagtg cctctcctgg ccctggaagt tgccactcca 720 gtgcccacca gccttgtcct aataaaatta agttgcatca ttttgtctga ctaggtgtcc 780 ttctataata ttatggggtg gaggggggtg gtatggagca aggggcaagt tgggaagaca 840 acctgtaggg ctcgaggggg ggcccggtac cagcttttgt tccctttagt gagggttaat 900 ttcgagcttg gtcttccgct tcctcgctca ctgactcgct gcgctcggtc gttcggctgc 960 ggcgagcggt atcagctcac tcaaaggcgg taatacggtt atccacagaa tcaggggata 1020 acgcaggaaa gaacatgtga gcaaaaggcc agcaaaaggc caggaaccgt aaaaaggccg 1080 cgttgctggc gtttttccat aggctccgcc cccctgacga gcatcacaaa aatcgacgct 1140 caagtcagag gtggcgaaac ccgacaggac tataaagata ccaggcgttt ccccctggaa 1200 gctccctcgt gcgctctcct gttccgaccc tgccgcttac cggatacctg tccgcctttc 1260 tcccttcggg aagcgtggcg ctttctcata gctcacgctg taggtatctc agttcggtgt 1320 aggtcgttcg ctccaagctg ggctgtgtgc acgaaccccc cgttcagccc gaccgctgcg 1380 ccttatccgg taactatcgt cttgagtcca acccggtaag acacgactta tcgccactgg 1440 cagcagccac tggtaacagg attagcagag cgaggtatgt aggcggtgct acagagttct 1500 tgaagtggtg gcctaactac ggctacacta gaagaacagt atttggtatc tgcgctctgc 1560 tgaagccagt taccttcgga aaaagagttg gtagctcttg atccggcaaa caaaccaccg 1620 ctggtagcgg tggttttttt gtttgcaagc agcagattac gcgcagaaaa aaaggatctc 1680 aagaagatcc tttgatcttt tctacggggc tagcgcttag aagaactcat ccagcagacg 1740 gtagaatgca atacgttgag agtctggagc tgcaatacca tacagaacca ggaaacggtc 1800 agcccattca ccacccagtt cctctgcaat gtcacgggta gccagtgcaa tgtcctggta 1860 acggtctgca acacccagac gaccacagtc aatgaaacca gagaaacgac cattctcaac 1920 catgatgttc ggcaggcatg catcaccatg agtaactacc aggtcctcac catccggcat 1980 acgagctttc agacgtgcaa acagttcagc cggtgccaga ccctgatgtt cctcatccag 2040 gtcatcctgg tcaaccagac ctgcttccat acgggtacga gcacgttcaa tacgatgttt 2100 tgcctggtgg tcaaacggac aggtagctgg gtccagggtg tgcagacgac gcattgcatc 2160 agccatgata gaaactttct ctgccggagc caggtgagaa gacagcaggt cctgacccgg 2220 aacttcaccc agcagcagcc agtcacgacc agcttcagta actacatcca gaactgcagc 2280 acacggaaca ccagtggttg ccagccaaga cagacgagct gcttcatcct gcagttcatt 2340 cagagcacca gacaggtcag ttttaacaaa cagaactgga cgaccctgtg cagacagacg 2400 gaaaacagct gcatcagagc aaccaatggt ctgctgtgcc cagtcataac caaacagacg 2460 ttcaacccag gctgccggag aacctgcatg cagaccatcc tgttcaatca tgcgaaacga 2520 tcctcatcct gtctcttgat cagatcttga tcccctgcgc catcagatcc ttggcggcaa 2580 gaaagccatc cagtttactt tgcagggctt cccaacctta ccagagggcg ccccagctgg 2640 caattccggt tcgcttgctg tccataaaac cgcccagtct agcaactgtt gggaagggcg 2700 atcg 2704 15 2713 DNA artificial sequence Vector with a chicken codon optimized GHRH analog sequence 15 tgtaatacga ctcactatag ggcgaattgg agctccaccg cggtggcggc cgtccgccct 60 cggcaccatc ctcacgacac ccaaatatgg cgacgggtga ggaatggtgg ggagttattt 120 ttagagcggt gaggaaggtg ggcaggcagc aggtgttggc gctctaaaaa taactcccgg 180 gagttatttt tagagcggag gaatggtgga cacccaaata tggcgacggt tcctcacccg 240 tcgccatatt tgggtgtccg ccctcggccg gggccgcatt cctgggggcc gggcggtgct 300 cccgcccgcc tcgataaaag gctccggggc cggcggcggc ccacgagcta cccggaggag 360 cgggaggcgc caagcggatc ccaaggccca actccccgaa ccactcaggg tcctgtggac 420 agctcaccta gctgccatgg ccctgtgggt gttctttgtg ctgctgaccc tgacctccgg 480 aagccactgc agcctgccac ccagcccacc cttccgcgtc aggcgccacg ccgacggcat 540 cttcagcaag gcctaccgca agctcctggg ccagctgagc gcacgcaact acctgcacag 600 cctgatggcc aagcgcgtgg gcagcggact gggagacgag gccgagcccc tgagctgata 660 agcttatcgg ggtggcatcc ctgtgacccc tccccagtgc ctctcctggc cctggaagtt 720 gccactccag tgcccaccag ccttgtccta ataaaattaa gttgcatcat tttgtctgac 780 taggtgtcct tctataatat tatggggtgg aggggggtgg tatggagcaa ggggcaagtt 840 gggaagacaa cctgtagggc tcgagggggg gcccggtacc agcttttgtt ccctttagtg 900 agggttaatt tcgagcttgg tcttccgctt cctcgctcac tgactcgctg cgctcggtcg 960 ttcggctgcg gcgagcggta tcagctcact caaaggcggt aatacggtta tccacagaat 1020 caggggataa cgcaggaaag aacatgtgag caaaaggcca gcaaaaggcc aggaaccgta 1080 aaaaggccgc gttgctggcg tttttccata ggctccgccc ccctgacgag catcacaaaa 1140 atcgacgctc aagtcagagg tggcgaaacc cgacaggact ataaagatac caggcgtttc 1200 cccctggaag ctccctcgtg cgctctcctg ttccgaccct gccgcttacc ggatacctgt 1260 ccgcctttct cccttcggga agcgtggcgc tttctcatag ctcacgctgt aggtatctca 1320 gttcggtgta ggtcgttcgc tccaagctgg gctgtgtgca cgaacccccc gttcagcccg 1380 accgctgcgc cttatccggt aactatcgtc ttgagtccaa cccggtaaga cacgacttat 1440 cgccactggc agcagccact ggtaacagga ttagcagagc gaggtatgta ggcggtgcta 1500 cagagttctt gaagtggtgg cctaactacg gctacactag aagaacagta tttggtatct 1560 gcgctctgct gaagccagtt accttcggaa aaagagttgg tagctcttga tccggcaaac 1620 aaaccaccgc tggtagcggt ggtttttttg tttgcaagca gcagattacg cgcagaaaaa 1680 aaggatctca agaagatcct ttgatctttt ctacggggct agcgcttaga agaactcatc 1740 cagcagacgg tagaatgcaa tacgttgaga gtctggagct gcaataccat acagaaccag 1800 gaaacggtca gcccattcac cacccagttc ctctgcaatg tcacgggtag ccagtgcaat 1860 gtcctggtaa cggtctgcaa cacccagacg accacagtca atgaaaccag agaaacgacc 1920 attctcaacc atgatgttcg gcaggcatgc atcaccatga gtaactacca ggtcctcacc 1980 atccggcata cgagctttca gacgtgcaaa cagttcagcc ggtgccagac cctgatgttc 2040 ctcatccagg tcatcctggt caaccagacc tgcttccata cgggtacgag cacgttcaat 2100 acgatgtttt gcctggtggt caaacggaca ggtagctggg tccagggtgt gcagacgacg 2160 cattgcatca gccatgatag aaactttctc tgccggagcc aggtgagaag acagcaggtc 2220 ctgacccgga acttcaccca gcagcagcca gtcacgacca gcttcagtaa ctacatccag 2280 aactgcagca cacggaacac cagtggttgc cagccaagac agacgagctg cttcatcctg 2340 cagttcattc agagcaccag acaggtcagt tttaacaaac agaactggac gaccctgtgc 2400 agacagacgg aaaacagctg catcagagca accaatggtc tgctgtgccc agtcataacc 2460 aaacagacgt tcaacccagg ctgccggaga acctgcatgc agaccatcct gttcaatcat 2520 gcgaaacgat cctcatcctg tctcttgatc agatcttgat cccctgcgcc atcagatcct 2580 tggcggcaag aaagccatcc agtttacttt gcagggcttc ccaaccttac cagagggcgc 2640 cccagctggc aattccggtt cgcttgctgt ccataaaacc gcccagtcta gcaactgttg 2700 ggaagggcga tcg 2713 16 382 DNA artificial sequence This is the synthetic promoter c1-26. 16 ggcggccgag ggcggcgggg caggcagcag gtgttggcac cattcctcac cgctctaaaa 60 ataactcccg tgaggaatgg tgccgtcgcc atatttgggt gtcgacaccc aaatatggcg 120 acgggtgagg aatggtgggc aggcagcagg tgttgggaca cccaaatatg gcgacggcca 180 acacctgctg cctgccggga gttattttta gagcggggag ttatttttag agcggtgagg 240 aatggtggac acccaaatat ggcgacggcc ggggccgcat tcctgggggc cgggcggtgc 300 tcccgcccgc ctcgataaaa ggctccgggg ccggcggcgg cccacgagct acccggagga 360 gcgggaggcg ccaagctcta ga 382 17 218 DNA artificial sequence This is the synthetic promoter sequence for c2-26. 17 cggccgtcgc catatttggg tgtccgctct aaaaataact cccgacaccc aaatatggcg 60 acggggcagg cagcaggtgt tgggacaccc aaatatggcg acggccgggg ccgcattcct 120 gggggccggg cggtgctccc gcccgcctcg ataaaaggct ccggggccgg cggcggccca 180 cgagctaccc ggaggagcgg gaggcgccaa gctctaga 218 18 230 DNA artificial sequence This is the synthetic sequence for c2-27. 18 cggccgtcgc catatttggg tgtcggcagg cagcaggtgt tggcaccatt cctcacccgt 60 cgccatattt gggtgtcggc aggcagcagt gttgggacac ccaaatatgg cgacggccgg 120 ggccgcattc ctgggggccg ggcggtgctc ccgcccgcct cgataaaagg ctccggggcc 180 ggcggcggcc cacgagctac ccggaggagc gggaggcgcc aagctctaga 230 19 231 DNA artificial sequence This is the synthetic promoter for c5-5. 19 cggccgtccg ccctcgggac acccaaatat ggcgacgggt gaggaatggt gcaccattcc 60 tcacgggagt tatttttaga gcggtgagga atggtggaca cccaaatatg gcgacggccg 120 gggccgcatt cctgggggcc gggcggtgct cccgcccgcc tcgataaaag gctccggggc 180 cggcggcggc ccacgagcta cccggaggag cgggaggcgc caagctctag a 231 20 255 DNA artificial sequence This is the synthetic promter for c6-5. 20 cggccgtcgc catatttggg tgtcccaaca cctgctgcct gccccgtcgc catatttggt 60 gtcggcaggc agcaggtgtt ggccaacacc tgctgcctgc cgggagttat ttttagagcg 120 gacacccaaa tatggcgacg gccggggccg cattcctggg ggccgggcgg tgctcccgcc 180 cgcctcgata aaaggctccg gggccggcgg cggcccacga gctacccgga ggagcgggag 240 gcgccaagct ctaga 255 21 283 DNA artificial sequence This is the synthetic promoter for c6-16. 21 cggccgtcgc catatttggg tgtccgctct aaaaataact cccccaacac ctgctgcctg 60 ccccgtcgcc atatttgggt gtcggcaggc agcaggtgtt ggccaacacc tgctgcctgc 120 cccaacacct gctgcctgcc ccgtcgccat atttggtgtc cgccctcggc cggggccgca 180 ttcctggggg ccgggcggtg ctcccgcccg cctcgataaa aggctccggg gccggcggcg 240 gcccacgagc tacccggagg agcgggaggc gccaagctct aga 283 22 263 DNA artificial sequence This is the synthetic promoter for c6-39. 22 cggccgtccg ccctcggggg agttattttt agagcgccaa cacctgctgc ctgccccgtc 60 gccatatttg ggtgtcggca ggcagcaggt gttgggggag ttatttttag agcgccgtcg 120 ccatatttgg gtgtcccgag ggcggacggc cggggccgca ttcctggggg ccgggcggtg 180 ctcccgcccg cctcgataaa aggctccggg gccggcggcg gcccacgagc tacccggagg 240 agcgggaggc gccaagctct aga 263 

What is claimed is:
 1. A cardiac specific-synthetic promoter produced by a method comprising: (a) introducing a library of randomized synthetic-promoter-recombinant expression constructs into a first-population of cells forming a first-test-population of cells; (b) screening the first-test-population of cells for a first cardiac-specific-clone having a first-transcriptional activity that is higher than a control-transcriptional activity; and (c) utilizing the cardiac specific-synthetic promoter from the first-cardiac-specific clone as the cardiac specific-synthetic promoter for a cardiac-specific-synthetic expression construct; wherein, each of the randomized synthetic-promoter-recombinant expression constructs are operatively linked to a reporter gene to form a nucleic acid expression construct; and the control-cardiac-specific-clone comprises a known-promoter operatively linked to the reporter gene forming a control-nucleic acid expression construct having the control-transcriptional activity in the first- population of cells.
 2. The cardiac specific-synthetic promoter of claim 1, wherein the first-population of cells comprise cells in vitro.
 3. The cardiac specific-synthetic promoter of claim 1, further comprising: second-screening the first cardiac-specific-clone in a second-test-population of cells before utilizing the cardiac-specific-synthetic promoter as the cardiac-specific-synthetic promoter for the cardiac-specific-synthetic expression construct; wherein, the reporter gene from the first-cardiac-specific-clone having a second-transcriptional activity in the second-population of cells that is higher than a second-control-transcriptional activity of the control-cardiac-specific-clone introduced into the second-population of cells.
 4. The cardiac specific-synthetic promoter claim 3, wherein the first-population of cells comprise cells in vitro, and the second-population of cells comprise cells in vivo.
 5. The cardiac specific-synthetic promoter of claim 1, wherein cardiac specific synthetic promoter comprises c5-12 (SeqID#5).
 6. The cardiac specific-synthetic promoter of claim 1, wherein cardiac specific synthetic promoter comprises c1-26 (SeqID#16); c2-26 (SeqID#17); c2-27 (SeqID#18); c5-5 (SeqID#19); c6-5 (SeqID#20); c6-16 (SeqID#21); or c6-39 (SeqID#22).
 7. The cardiac specific-synthetic promoter of claim 1, wherein the cardiac-specific-synthetic promoter comprises a first-combination of cis-acting regulatory elements; the first combination of cis-acting regulatory elements being selected from library of randomized synthetic-promoter-recombinants; and the cardiac-specific synthetic promoter driving a transcriptional activity of the expressible gene in a population of cells that is higher than the transcriptional activity of the expressible gene driven by a control-promoter in the population of cells.
 8. The cardiac specific-synthetic promoter of claim 7, wherein the cis-acting regulatory elements comprise SRE (SeqID#1); MEF-1 (SeqID#2); MEF-2 (SeqID#3); and TEF-1 (SeqID#4).
 9. A method of using a cardiac specific-synthetic expression construct for expressing a gene in a cardiac cell comprising: delivering into the cardiac cell a cardiac specific-synthetic expression construct; wherein, the cardiac-specific-synthetic expression construct comprises a cardiac-specific-synthetic-promoter operatively-linked to an expressible gene.
 10. The method of claim 9, wherein cardiac specific synthetic promoter comprises c5-12 (SeqID#5).
 11. The method of claim 9, wherein cardiac specific synthetic promoter comprises c1-26 (SeqID#16); c2-26 (SeqID#17); c2-27 (SeqID#18); c5-5 (SeqID#19); c6-5 (SeqID#20); c6-16 (SeqID#21); or c6-39 (SeqID#22).
 12. The method of claim 9, wherein the cardiac-specific-synthetic promoter comprises a first-combination of cis-acting regulatory elements; the first combination of cis-acting regulatory elements being selected from library of randomized synthetic-promoter-recombinants; and the cardiac-specific synthetic promoter driving a transcriptional activity of the expressible gene in a population of cells that is higher than the transcriptional activity of the expressible gene driven by a control-promoter in the population of cells.
 13. The method of claim 12, wherein the cis-acting regulatory elements comprise SRE (SeqID#1); MEF-1 (SeqID#2); MEF-2 (SeqID#3); and TEF-1 (SeqID#4).
 14. The method of claim 9, wherein delivering into the cardiac cell the cardiac specific-synthetic expression construct is via electroporation.
 15. The method of claim 9, wherein the expressible-gene comprises a nucleic acid sequence that encodes a growth-hormone-releasing-hormone (“GHRH”) or functional biological equivalent thereof.
 16. The composition of claim 15, wherein the encoded GHRH is a biologically active polypeptide, and the encoded functional biological equivalent of GHRH is a polypeptide that has been engineered to contain a distinct amino acid sequence while simultaneously having similar or improved biologically activity when compared to the GHRH polypeptide.
 17. The method of claim 15, wherein the encoded GHRH or fuctional biological equivalent thereof is of formula (SEQID#6): —X₋₁—X₂-DAIFTNSYRKVL-X₃-QLSARKLLQDI-X₄—X₅-RQQGERNQEQGA-OH wherein the formula has the following characteristics: X₁ is a D-or L-isomer of the amino acid tyrosine (“Y”), or histidine (“H”); X₂ is a D-or L-isomer of the amino acid alanine (“A”), valine (“V”), or isoleucine (“I”); X₃ is a D-or L-isomer of the amino acid alanine (“A”) or glycine (“G”); X₄ is a D-or L-isomer of the amino acid methionine (“M”), or leucine (“L”); X₅ is a D-or L-isomer of the amino acid serine (“S”) or asparagine (“N”); or a combination thereof.
 18. The method of claim 9, wherein the cardiac specific-synthetic expression construct comprises SeqID No: 7, SeqID No: 8, SeqID No: 9, SeqID No: 10, SeqID No: 11, SeqID No: 12, SeqID No: 13, SeqID No: 14, or SeqID No:
 15. 19. A method of synthesizing a cardiac specific synthetic expression construct comprising: (a) identifying a cardiac-specific promoter; and (b) operatively-linking the cardiac-specific promoter to an expressible gene to form the cardiac specific synthetic expression construct; wherein; the cardiac-specific-synthetic promoter comprises a first- combination of cis-acting regulatory elements; and the expressible gene comprises a nucleic acid expression construct with or without an operable-linked promoter.
 20. The method of claim 19, wherein cardiac specific synthetic promoter comprises c5- 12 (SeqID#5).
 21. The method of claim 19, wherein cardiac specific synthetic promoter comprises c1-26 (SeqID#16); c2-26 (SeqID#17); c2-27 (SeqID#18); c5-5 (SeqID#19); c6-5 (SeqID#20); c6-16 (SeqID#21); or c6-39 (SeqID#22).
 22. The method of claim 19, wherein the first combination of cis-acting regulatory elements comprise being selected from library of randomized synthetic-promoter-recombinants; and the cardiac-specific synthetic promoter driving a transcriptional activity of the expressible gene in a population of cells that is higher than the transcriptional activity of the expressible gene driven by a control-promoter in the population of cells.
 23. The method of claim 22, wherein the cis-acting regulatory elements comprise SRE (SeqID#1); MEF-1 (SeqID#2); MEF-2 (SeqID#3); and TEF-1 (SeqID#4).
 24. The method of claim 19, wherein delivering into the cardiac cell the cardiac specific-synthetic expression construct is via electroporation.
 25. The method of claim 19, wherein the expressible-gene comprises a nucleic acid sequence that encodes a growth-hormone-releasing-hormone (“GHRH”) or functional biological equivalent thereof.
 26. The composition of claim 25, wherein the encoded GHRH is a biologically active polypeptide, and the encoded functional biological equivalent of GHRH is a polypeptide that has been engineered to contain a distinct amino acid sequence while simultaneously having similar or improved biologically activity when compared to the GHRH polypeptide.
 27. The method of claim 25, wherein the encoded GHRH or functional biological equivalent thereof is of formula (SEQID#6): —X₋₁—X₂-DAIFTNSYRKVL-X₃-QLSARKLLQDI-X₄—X₅-RQQGERNQEQGA-OH wherein the formula has the following characteristics: X₁ is a D-or L-isomer of the amino acid tyrosine (“Y”), or histidine (“H”); X₂ is a D-or L-isomer of the amino acid alanine (“A”), valine (“V”), or isoleucine (“I”); X₃ is a D-or L-isomer of the amino acid alanine (“A”) or glycine (“G”); X₄ is a D-or L-isomer of the amino acid methionine (“M”), or leucine (“L”); X₅ is a D-or L-isomer of the amino acid serine (“S”) or asparagine (“N”); or a combination thereof.
 28. The method of claim 19, wherein the cardiac specific-synthetic expression construct comprises SeqID No: 7, SeqID No: 8, SeqID No: 9, SeqID No: 10, SeqID No: 11, SeqID No: 12, SeqID No: 13, SeqID No: 14, or SeqID No:
 15. 29. A method of using a cardiac specific-synthetic expression construct for expressing a gene in a cardiac cell comprising: delivering into the cardiac cell a cardiac specific-synthetic expression construct; wherein, the cardiac-specific-synthetic expression construct comprises a cardiac-specific-synthetic-promoter (SeqID No: 5) operatively-linked to an expressible gene.
 30. The method of claim 29, wherein the expressible-gene comprises a nucleic acid sequence that encodes a growth-hormone-releasing-hormone (“GHRH”) or functional biological equivalent thereof.
 31. The method of claim 30, wherein the encoded GHRH is a biologically active polypeptide, and the encoded functional biological equivalent of GHRH is a polypeptide that has been engineered to contain a distinct amino acid sequence while simultaneously having similar or improved biologically activity when compared to the GHRH polypeptide.
 32. The method of claim 30, wherein the encoded GHRH or functional biological equivalent thereof is of formula (SEQID#6): —X₋₁—X₂-DAIFTNSYRKVL-X₃-QLSARKLLQDI-X₋₄—X₅-RQQGERNQEQGA-OH wherein the formula has the following characteristics: X₁ is a D-or L-isomer of the amino acid tyrosine (“Y”), or histidine (“H”); X₂ is a D-or L-isomer of the amino acid alanine (“A”), valine (“V”), or isoleucine (“I”); X₃ is a D-or L-isomer of the amino acid alanine (“A”) or glycine (“G”); X₄ is a D-or L-isomer of the amino acid methionine (“M”), or leucine (“L”); X₅ is a D-or L-isomer of the amino acid serine (“S”) or asparagine (“N”); or a combination thereof.
 33. The method of claim 29, wherein the cardiac specific-synthetic expression construct comprises SeqID No: 7, SeqID No: 8, SeqID No: 9, SeqID No: 10, SeqID No: 11, SeqID No: 12, SeqID No: 13, SeqID No: 14, or SeqID No:
 15. 34. A method of using a cardiac specific-synthetic expression construct for expressing a gene in a cardiac cell comprising: delivering into the cardiac cell a cardiac specific-synthetic expression construct; wherein, the cardiac-specific-synthetic expression construct comprises a cardiac-specific-synthetic-promoter (SeqID No: 18) operatively-linked to an expressible gene.
 35. The method of claim 34, wherein the expressible-gene comprises a nucleic acid sequence that encodes a growth-hormone-releasing-hormone (“GHRH”) or functional biological equivalent thereof.
 36. The method of claim 35, wherein the encoded GHRH is a biologically active polypeptide, and the encoded functional biological equivalent of GHRH is a polypeptide that has been engineered to contain a distinct amino acid sequence while simultaneously having similar or improved biologically activity when compared to the GHRH polypeptide.
 37. The method of claim 35, wherein the encoded GHRH or functional biological equivalent thereof is of formula (SEQID#6): —X₋₁—X₂-DAIFTNSYRKVL-X₃-QLSARKLLQDI-X₄—X₅-RQQGERNQEQGA-OH wherein the formula has the following characteristics: X₁ is a D-or L-isomer of the amino acid tyrosine (“Y”), or histidine (“H”); X₂ is a D-or L-isomer of the amino acid alanine (“A”), valine (“V”), or isoleucine (“I”); X₃ is a D-or L-isomer of the amino acid alanine (“A”) or glycine (“G”); X₄ is a D-or L-isomer of the amino acid methionine (“M”), or leucine (“L”); X₅ is a D-or L-isomer of the amino acid serine (“S”) or asparagine or a combination thereof.
 38. The method of claim 34, wherein the cardiac specific-synthetic expression construct comprises SeqID No: 7, SeqID No: 8, SeqID No: 9, SeqID No: 10, SeqID No: 11, SeqID No: 12, SeqID No: 13, SeqID No: 14, or SeqID No:
 15. 